How to diagnose fallopian tube adhesion?

People regard children as the fruit of a couple's love and another continuation of their love. However, many families have not received news of pregnancy. One of the reasons is fallopian tube adhesion, which is the most hateful disease for female friends. Therefore, in order to treat it as soon as possible, some friends asked how to determine whether it is caused by fallopian tube adhesion. The following will teach you how to determine fallopian tube adhesion.

Clinical manifestations of fallopian tube adhesions:

1. Pain:

(1) Chronic pelvic inflammatory disease: Patients often have a history of acute pelvic inflammatory disease. The pain is mostly dull pain in the lower abdomen and back pain, which may be aggravated during menstruation, after sexual intercourse or after fatigue. There are menstrual changes such as increased menstrual flow and prolonged menstrual period. However, the systemic symptoms are not obvious, and there is occasionally a low fever. If it is not cured for a long time, it will seriously affect the patient's quality of life.

(2) Endometriosis: Pain is one of its main symptoms. It can be divided into dysmenorrhea and pelvic pain. The pain caused by endometriosis is typically associated with menstruation: dysmenorrhea. Its characteristics are: one is secondary dysmenorrhea; the other is gradual aggravation. The pain is mostly located in the lower abdomen and lumbosacral region, and may radiate to the vagina, perineum, and anus. The pain may start 1 to 2 days before menstruation. The pain is severe on the first 1 to 2 days of menstruation, then gradually subsides and lasts throughout the menstrual period. If left untreated, the pain will gradually worsen until it becomes unbearable for the patient. The above symptoms are typical manifestations of endometriosis. In fact, about half of the patients do not have dysmenorrhea, while some patients may experience pain during sexual intercourse. It manifests as pain deep in the vagina and pelvis during sexual intercourse. This may be related to the involvement of ectopic lesions on the uterosacral ligament and vaginal rectal diaphragm.

(3) Pelvic tuberculosis: The abdominal pain caused by fallopian tube tuberculosis is usually bloating and heaviness in the lower abdomen, and the degree is usually mild.

2. Infertility: Among infertile patients, about 1/3 is caused by fallopian tube factors. Various infections, especially tuberculosis infection, often cause serious and irreversible damage to the fallopian tube lining and wall. Other nonspecific infections are also common, but the damage to the fallopian tubes is usually milder than pelvic tuberculosis. As for endometriosis, although it is often accompanied by infertility, it actually causes fallopian tube obstruction or obstructed fallopian tubes in only 16.7% of cases. This shows that the causes of infertility caused by endometriosis are more complicated.

3. Medical history and physical signs: Due to the different causes of fallopian tube adhesions, the clinical manifestations lack specificity. Therefore, asking about medical history is particularly important. Attention should be paid to whether the patient has a history of intrauterine surgery. Such as miscarriage, forceps, uterine cavity examination, postoperative fever, abdominal pain, etc. Whether there is a history of pulmonary tuberculosis or long-term low-grade fever or night sweats. Whether there is secondary dysmenorrhea and whether it gradually worsens. These all help in the diagnosis of the disease. How do you know it is fallopian tube adhesion? Physical signs: Chronic pelvic inflammatory disease can touch the cord-like thickened fallopian tube or fallopian tube ovarian cyst beside the uterus, with mild tenderness. If a hard, tender nodule is felt in the posterior fornix, it is very helpful for the diagnosis of endometriosis. In mild cases of pelvic tuberculosis, there are often no abnormal findings, while in severe cases, patients often have weight loss, a soft abdomen, and sometimes signs of ascites. When a cystic effusion is formed, an inactive, poorly defined cystic mass may be felt in the pelvic cavity.

The above is how to specifically determine fallopian tube adhesion. If some female friends find that they have problems and symptoms in these areas, don't panic. Go to the hospital to consult relevant experts and receive timely treatment for their own symptoms. In this way, it is more likely that the baby will be born this morning. Finally, I hope you are in good health and your wishes come true.