The difference between fallopian tube adhesion and fallopian tube obstruction

Fallopian tube adhesion and fallopian tube blockage are completely different diseases. The severity of these two diseases is different, so the course of the disease is also different. The fallopian tube is blocked because there are broken threads, broken cells and blood clots in the tube. Fallopian tube occlusion means that all the fallopian tubes are adhered together, including the soft tissue components that are completely combined together.

Tubal adhesion and obstruction are just different degrees of lesions. Clinically, there are three situations according to the degree of tubal obstruction:

The first is that the fallopian tube is obstructed . The cause is debris, shed cells or blood clots in the tube, or the fallopian tube is too thin and curved, or the fallopian tube is adhered to the pelvic wall and adjacent organs, which pulls the movement of the fallopian tube. The treatment can be cleared by using laparoscopy. Extratubular adhesions can also be cut and broken down through laparoscopy to "loosen" the fallopian tubes. After treatment, most patients can become pregnant.

The second situation is that the fallopian tube is blocked and the damage is relatively minor, but most of the fallopian tubes are normal. In this case, the fallopian tube can be cleared or 24-hour catheterization can be performed through combined uterine and abdominal surgery. If there is water accumulation in the fallopian tube, an opening can be made on it, the liquid can be released, and the tube can be turned over and sutured to prevent adhesion again. Generally speaking, the surgery is very effective and the success rate can reach over 90%.

The third situation is that the fallopian tube is completely blocked and severely damaged. This situation is mostly caused by delayed treatment due to a long course of illness or fallopian tube tuberculosis infection. Because the fallopian tubes form scars, contractures, and stiffness, irreversible changes can occur. Even if the tubes are successfully unblocked, it is difficult to conceive naturally. Generally, in vitro fertilization is required after surgery.

Extratubular adhesions can also be cut and broken down through laparoscopy to "loosen" the fallopian tubes. After treatment, most patients can become pregnant.