What to do if your cervix is ​​blocked

When the cervix is ​​blocked, surgery is needed to clear it. If it is not treated, the symptoms of cervical blockage will become more and more serious, and eventually you will be unable to have children. In this case, it will be very difficult to treat, or even impossible to cure. Therefore, surgical treatment should be taken as soon as possible when it is discovered in the early stages.

Treatment of proximal fallopian tube obstruction

Proximal tubal obstruction accounts for 10% to 25% of female tubal diseases. The recanalization of proximal tubal obstruction can be performed by hysteroscopic COOK guidewire recanalization or partial tubal resection and re-anastomosis. Hysteroscopic guidewire recanalization is to insert the COOK guidewire into the interstitial part of the fallopian tube under hysteroscopy to perform tubal fluid perfusion. The interstitial part and isthmus of the fallopian tube are recanalized through the separation and expansion of the guidewire sheath and the impact of the liquid. The operation is simple

However, the cost is high. About 85% of proximal fallopian tube obstruction can be resolved through proximal guidewire dredging, but the reported postoperative pregnancy rate varies greatly, ranging from 12% to 39%, and the incidence of ectopic pregnancy is 2% to 9%. If the patient cannot undergo guidewire recanalization, the obstruction site can be found and partial fallopian tube resection and anastomosis can be performed.

Treatment of mid-fallopian tube obstruction

Mid-fallopian tube disease refers to obstruction or loss of the middle part of the fallopian tube. The causes of the disease are tubal pregnancy and tubal sterilization. Tubal anastomosis is a commonly used surgical method for mid-fallopian tube obstruction. It is a laparoscopic removal of the blocked part of the fallopian tube and anastomosis of the two ends of the fallopian tube. Foreign reports show that the postoperative pregnancy rate of fallopian tube anastomosis is 74%-81%, and the incidence of ectopic pregnancy is 4.8%.

Treatment of distal fallopian tube obstruction

Distal fallopian tube lesions account for 85% of tubal infertility. The causes of distal tubal obstruction are pelvic inflammatory disease and peritonitis and previous pelvic and abdominal surgery.

Fimbrioplasty: This part refers to the disintegration or dilation of the narrowed fallopian tubes that have not yet completely closed and formed hydrops. Relatively speaking, the damage to the fallopian tubes in these patients is significantly milder than that in those with complete atresia or hydrops. Therefore, the effect of the surgery is more significant.

If there is no obvious adhesion around the fallopian tube and ovary, and the fimbria mucosa is good after separation, more than 80% of patients can achieve intrauterine pregnancy after surgery. However, if the fallopian tube forms dense adhesions with the ovary or surrounding tissues and the wound is huge after separation, the prognosis of the operation will be poor, the natural conception rate after surgery will decrease, and the risk of ectopic pregnancy will increase. When both distal and proximal tubal obstruction exist, the surgical success rate is 5% or less.