Opening the fallopian tubes is a controversial procedure. Its effectiveness is questionable in the first place. This is because many gynecologists believe that blockage of the fallopian tubes (usually both) is actually synonymous with the inability to conceive naturally. In this case, couples are advised to consider the laboratory method. According to other doctors, opening the fallopian tubes does not guarantee effectiveness, but it does give some patients a chance to get pregnant without IVF.
Until recently, fallopian tube detachment was performed only as part of surgical procedures. At the moment, it is possible to use a newer solution, the procedure under the control of x-rays. Both the first and second forms of treatment raise a lot of doubts and discussions, but women who suffer from the problem of infertility caused by adhesions in the fallopian tubes use both methods.
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When is it necessary to open the fallopian tubes?
Laparoscopic opening of the fallopian tube Until recently, it was the only alternative to the in vitro method for women with blocked fallopian tubes. This disease translates almost directly into fertility problems, and in fact it greatly reduces the chances of a normal pregnancy. Blocked fallopian tubes are often caused by:
- Endometriosis development
- ectopic pregnancy;
- Inflammation caused by infection (eg chlamydia, fungi, gonorrhea);
- previous miscarriage
- Fallopian tube cancer.
The formation of blocked fallopian tubes may also have an effect IUD and previous abdominal surgery .
Diagnosis is required when cleaning the fallopian tubes
The opening of the fallopian tubes and the decision to choose the method should precede a complete diagnosis of obstruction. The fallopian tubes are primarily examined using hysterosalpingography (HSG). Thanks to this examination, it is possible to obtain information about the patency of the fallopian tubes and the structure of other reproductive organs. A specific type of hysterosalpingography is recognized as a method of removing the fallopian tubes. It involves inserting a contrast agent into the uterus and fallopian tubes through the cervix. At the same time, x-ray images are taken from all stages of the examination. During the examination itself, you can open the fallopian tubes by loosening the small adhesions.
HSG selective Described as A method to untie the fallopian tubes under the control of X-rays . The operation is done without general anesthesia. Associated with a one-day hospital stay. Sono HSG is a test for fallopian tubes that is done using an ultrasound machine.
What is laparoscopic cleaning of the fallopian tubes?
Laparoscopic cleaning of the fallopian tubes is based on freeing them from adhesions and sculpting them to restore their original shape. This method is recommended to clean the fallopian tubes for patients with:
- Adhesions around the fallopian tubes.
- complete blockage of the fallopian tubes near the ovary;
- partial blockage of the outer end of the fallopian tube;
- Obstruction of the connection to the uterus.
- Endometriosis, which causes blockage or scarring.
Women who plan to withdraw sterilization by ligation of the fallopian tubes can also benefit from laparoscopic cleaning of the fallopian tubes.
HSG as a way to clean the fallopian tubes – what is it all about?
It only opens the fallopian tubes with HSG Department of Interventional Radiology in Lublin . The procedure is performed after menstruation in the period leading up to ovulation. Using a special endoscope and catheter, a contrast is injected into the uterus and fallopian tubes, X-rays are taken all the time, and the doctor removes the adhesions. The whole process takes from 15 to 30 minutes. It happens that the mere administration of a contrast agent under pressure into the uterine cavity is sufficient to restore the patency of the fallopian tubes.
Opening of the fallopian tubes and pregnancy
Laparoscopic drainage of the fallopian tubes or HSG is not a complete guarantee of success. In case HSG is said to account for 80% of successful treatments . However, only 30% of patients get pregnant very quickly after this procedure. Obstruction of the fallopian tubes is not necessarily the only cause of infertility, so if pregnancy is unsuccessful after surgery, other causes should be considered. Besides, you have to remember that Opening the fallopian tubes does not lead to a permanent result and the adhesions may reappear over time . In many cases, cleaning the fallopian tubes does not bring the expected effect and couples are advised to consider the laboratory method.
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