What are the sequelae of fallopian tube removal?

In today's society, many women are under pressure from work or family, which leads to endocrine disorders and other diseases. Fallopian tube diseases are one of the common ones. The fallopian tube is an important channel for women to have children. Once the fallopian tube is removed, it will definitely affect the movement of sperm and eggs for conception, greatly reducing the chance of female conception. For women who have had both sides of the fallopian tube removed, they will definitely not be able to conceive naturally.

Question 1

Fallopian tube obstruction is mostly caused by infection, common bacterial infection, special pathogen infection, such as Mycoplasma tuberculosis, Chlamydia trachomatis, Ureaplasma urealyticum, Mycoplasma hominis, protozoa, etc. According to the location, it is divided into proximal fallopian tube obstruction, mid-fallopian tube obstruction and distal fallopian tube obstruction. According to the degree of blockage, it is divided into incomplete fallopian tube obstruction and complete fallopian tube obstruction. Generally speaking, there are no typical symptoms. The most common manifestation is infertility. The fallopian tubes have the important role of transporting sperm, taking in eggs and transporting fertilized eggs to the uterine cavity. Blockage of the fallopian tubes hinders the passage of sperm and fertilized eggs, leading to infertility or ectopic pregnancy. If the fallopian tube obstruction is caused by pelvic inflammation, it may be accompanied by lower abdominal pain, back pain, increased secretions, pain during sexual intercourse, etc.

Question 2

Methylene blue is injected into the uterine cavity through the uterine catheter. Laparoscopic observation shows that the methylene blue overflows from the fimbria of the fallopian tube into the pelvic cavity, which means the fallopian tube is unobstructed. If the proximal fallopian tube is blocked (interstitial and isthmic parts of the fallopian tube), the methylene blue fluid will not overflow from the fimbria of the fallopian tube into the abdominal cavity. If the distal fallopian tube is blocked (ampulla and fimbria of the fallopian tube), the fimbria and ampulla of the fallopian tube can be seen to be expanded, thickened and stained blue, but no methylene blue fluid flows from the fimbria of the fallopian tube into the abdominal cavity. Laparoscopy can directly visualize the site of fallopian tube obstruction and the adhesions around it and can simultaneously separate and treat the adhesions. It is the gold standard for diagnosing fallopian tube obstruction, but it requires general anesthesia and surgical treatment. It is not widely used at present and is only used for patients who require surgery when fallopian tube perfusion or angiography indicates abnormalities in the fallopian tube.