What are the symptoms of congenital fallopian tube obstruction?

Congenital fallopian tube obstruction is actually not uncommon among women, and these problems have a relatively serious impact on women, so understanding the symptoms can enable timely detection and treatment. Common symptoms include irregular menstruation, abdominal discomfort, or dysmenorrhea.

1. Early symptoms

1. Menstrual irregularities: The fallopian tubes are adjacent to the ovaries. Generally, diseases of the fallopian tubes do not affect the function of the ovaries or the amount of menstruation. Menstrual abnormalities only occur when inflammation spreads to the ovaries and damages the ovarian function. The most common symptoms are frequent menstruation and excessive menstrual flow.

2. Abdominal discomfort: There are different degrees of pain in the lower abdomen, which is mostly hidden discomfort, soreness, swelling and a feeling of falling in the waist, back and sacrum, which is often aggravated by fatigue. Due to pelvic adhesions, there may be pain when the bladder or rectum is filled or empty, or other symptoms of bladder and rectal irritation, such as frequent urination and tenesmus.

3. Dysmenorrhea: Dysmenorrhea caused by pelvic congestion usually begins with abdominal pain one week before menstruation, which becomes more severe as the menstrual period approaches until the onset of menstruation.

4. Others: such as increased vaginal discharge, pain during sexual intercourse, gastrointestinal disorders, fatigue, labor disturbance or intolerance to long-term labor, neurological symptoms and depression, etc.

2. Inspection Methods

1. Hysterosalpingography under X-ray: Observe the shape of the cervix, uterus and bilateral fallopian tubes when the contrast agent fills under X-ray, and take pictures to leave records. This can help you understand whether the fallopian tubes are unobstructed and the location of fallopian tube blockage. At the same time, you can understand the shape of the uterus and fallopian tubes. This method of examining tubal infertility still has an irreplaceable role in clinical applications.

2. Tubal ventilation test: Tubal ventilation test is a very early method for detecting tubal infertility. Gas is injected into the uterine cavity through a catheter. The patentness of the fallopian tube is determined based on the injected gas pressure, lower abdominal auscultation, patient sensation and the presence of free gas under the abdominal fluoroscopy. This method of detecting tubal infertility is rarely used now.

3. Fallopian tube permeability test: The fallopian tube permeability test is performed by injecting fluid into the uterine cavity, and judging whether the fallopian tube is unobstructed based on the resistance to injection, the presence or absence of fluid reflux, the amount of injected fluid, and the patient's feeling. It is a very commonly used method for detecting tubal infertility.