How do you know if your fallopian tubes are blocked?

If a woman has a blocked fallopian tube, it will have a serious impact on her health. Not only will she feel unbearable abdominal pain during her menstruation, but it will also affect the normal menstrual cycle and even damage her pregnancy function. Therefore, when the fallopian tube is blocked, it must be unblocked. So how can you know if the fallopian tube is blocked?

How can you know if your fallopian tubes are blocked? There are no obvious symptoms of fallopian tube blockage. Some patients can only guess their condition by whether they have symptoms of pelvic inflammatory disease, such as lower abdominal pain, back pain, increased leucorrhea, and odor, but this is not accurate.

Some hospitals in Nanjing use "water flow" to check whether the fallopian tubes are unobstructed. Experts pointed out that "water perfusion" is only effective for separating mild tubal adhesions, but it is difficult to accurately determine whether the fallopian tube is blocked on one side or both sides, and it is also difficult to find the specific site of blockage.

Professor Du said that if you want to know whether the fallopian tubes are unobstructed and which part is blocked, the best way to check is to do a hysterosalpingography, which is usually performed on the third to seventh day after the end of menstruation.

If the fallopian tube is blocked due to compression by a gynecological tumor, it is usually removed surgically. Professor Du said that for benign tumors such as chocolate cysts, it is generally not recommended to remove the fallopian tube, but rather to remove the cyst to help "decompress" the fallopian tube. For early ovarian cancer, generally only the compressed or invaded fallopian tube is removed.

For patients with blockage on one side of the fallopian tube caused by non-tumor factors, the first thing to do is to determine whether the other fallopian tube can be used. Professor Du suggested that if pregnancy has not occurred within six months without any contraceptive measures, surgery to clear the fallopian tubes should be considered.

If the blockage occurs in the fimbria, the treatment is relatively difficult and a fallopian tube stoma can be performed using laparoscopic minimally invasive surgery. If it occurs in the isthmus or interstitial part, interventional treatment is mainly used, and catheterization and clearing are performed under X-ray. Clinically, many patients often have blockage of both fallopian tubes at the same time, but the blockage sites are different. In this case, a combined hysteroscopy and laparoscopy surgery can be used.

Precautions

Experts remind you: If the blockage occurs in the fimbria, the treatment is relatively difficult. You can do a fallopian tube stoma and use laparoscopic minimally invasive surgery. If it occurs in the isthmus or interstitial part, interventional treatment is mainly used, and catheterization and clearing are performed under X-ray. Clinically, many patients often have blockage of both fallopian tubes at the same time, but the blockage sites are different. In this case, a combined hysteroscopy and laparoscopy surgery can be used.

On the second and fourth days after fallopian tube intervention surgery, drug insufflation is required, and the hospitalization period is generally seven days. Anti-adhesion drugs should also be placed in the fallopian tube. One month after the operation, it is necessary to confirm whether the cannulation has been restored. Professor Du reminded that usually the next menstrual cycle after the operation can be used for pregnancy, but women who have undergone hysterosalpingography before are exposed to X-rays, so if they want to get pregnant, it is best to wait three months.