The fallopian tubes are tubular structures located on the either sides of the uterus and are an integral part of the female reproductive system. The ovum or egg travels through the tube to the uterus, where fertilization often takes place. Blockage of fallopian tube can affect one or both the tubes. Estimates suggest that tubal factor contributes to about 40% of the causes of infertility in females. There are several factors responsible for blockage of the fallopian tubes.
What Causes Blocked Fallopian Tubes?
There are several factors responsible for blockage of the fallopian tube, but one of the most common causes is pelvic inflammatory disease.
In addition to pelvic inflammatory disease, there are other causes,
- Uterine Infection which is often associated with abortion or miscarriage.
- Rupture of the appendix can result in abdominal infection which can cause blockage of the fallopian tubes.
- Ectopic pregnancy and a history of abdominal surgery can increase the risk of tubal blockage.
- Endometriosis (a condition characterized by growth of uterine endometrial cells outside the uterine cavity) is also considered to be responsible for tubal blockage.
Symptoms Of Blockage Of Fallopian Tubes
A blocked fallopian tube is rarely associated with any symptoms. Blockage of the fallopian tube is often an incidental finding in patients investigated for female infertility. However in some cases, blocked fallopian tubes may be associated with certain symptoms,
- In a condition referred to as hydrosalpinx, some of the common symptoms include abdominal pain which may vary in intensity depending upon the extent of obstruction.
- Some patients may report of abnormal vaginal discharge.
- Menstrual irregularities are often associated with some of the causes of blocked fallopian tubes like pelvic inflammatory disease and endometriosis.
- Painful sexual intercourse can also be associated in cases associated with blockage of the fallopian tubes.
- There is an increased risk of ectopic pregnancy.
Treatment For Fallopian Tube Blockage
The regimen to treat blocked fallopian tube depends upon the extent of blockage and involvement of one or both the tubes. In females with only one blocked tube, no treatment is required, if the other modalities are normal. However surgical treatment may be required in cases when both the fallopian tubes are blocked.
- Laparoscopic surgery is recommended in patients with both the tubes blocked. The treatment focuses on removing the scar tissue and recanalizing the fallopian tube to allow the passage of the eggs.
- In females not interested in conception, treatment usually focuses on the management of pelvic inflammatory disease or endometriosis.
- Homeopathic drugs have been considered beneficial in the management of host of pelvic inflammatory disorders and endometriosis. Pulsatilla and Sepia are the leading drugs used for the management of menstrual problems. Mag Phos is indicated in cases of severe abdominal pain. Ovarinium is prescribed in females with ovulatory problems and keen on conception.
- Maintaining a healthy low fat diet and staying away from processed and refined foods is considered beneficial in the management of endometriosis. Protected sex is important to prevent the transmission of sexually transmitted diseases.