DEFINITION OF FALLOPIAN TUBE

Fallopian tubes also called uterine tubes are two fine tubes on either side of the uterus which carries a mature egg from the ovary to the uterus and the motile sperm which swim up through the cervix. The tubes are lined with ciliated epithelia which move back and forth to help the egg move from the ovary into the uterus each month. It also helps in the movement of the sperm towards the egg. The ciliary action of the epithelia also helps the fertilised egg to move down the fallopian tubes into the uterus. Any scarring or adhesions in the fallopian tubes can cause a blockage that affects the fertility of a woman.

FALLOPIAN TUBE BLOCKAGE

A fallopian tube blockage is any obstruction in the tubes that prevent the egg from travelling down the uterus and also prevents the sperm from reaching the egg, thus affecting fertilisation and pregnancy. It can occur in one or both the tubes and is the cause of female infertility in 40% of cases.

FALLOPIAN TUBE BLOCKAGE SYMPTOMS

The fallopian tube blockage symptoms are very rare. Most women don’t even know they have blocked tubes until they try to get pregnant and then face difficulty in conceiving. However, in some women, it may cause pain during periods, pain during sex and pain while urinating. It’s advisable to consult a doctor if any of the symptoms arise.

A type of blockage in fallopian tube called Hydrosalpinx (it is a sign of impending infection/pathology) which causes the tube to swell and fill with fluid may cause lower abdominal pain, extreme pelvic pain and unusual vaginal discharge.

CAUSES OF FALLOPIAN TUBE BLOCKAGE

The most common reasons for a blocked fallopian tube are:

An Inflammatory pelvic disease which can lead to scarring of tissues and infections and can cause hydrosalpinx, which is the abnormal collection of fluid in fallopian tube, thus blocking the tube.
Sexually transmitted diseases like Chlamydia, Gonorrhoea can cause scarring of tissues which can cause the tubes to get clogged.
Tuberculosis of the genital tract mainly targets the fallopian tubes and the uterus, thus affecting the chances of conception.
Previous surgery of fallopian tubes can cause pelvic adhesions that blocks the tubes.
Prior operation of ectopic pregnancy can also cause blockage of fallopian tube by scarring of tissues.
The growth of fibroids which are attached near to the uterus can block the fallopian tubes.
Endometriosis can cause the endometrial tissue to accumulate in the fallopian tubes and cause a blockage. Adhesions caused due to the growth of endometrial tissues on the outer parts of other organs can also create a tubal blockage.

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