Blocked fallopian tubes can cause a lot of distress for many women, especially those planning to conceive during their reproductive years. Don’t underestimate the fallopian tubes; this seemingly unimportant passage is crucial for the union of human sperm and eggs. The ampulla of the oviduct is the site where sperm and eggs come together, so once they become obstructed, the chances of sperm and egg union are greatly reduced.
Some people don’t worry too much because there are two fallopian tubes; if one side is obstructed, there’s still the other. But what if both sides are blocked? Then, the situation could be more negative. Moreover, the most challenging aspect clinically is how to make an early diagnosis.
How can we know if the fallopian tubes are blocked? These three diagnostic methods help distinguish it easily.
1. Patient history
The location of the fallopian tubes is quite specific, and many people may need to be made aware of where exactly they are. They are located on both sides of the bottom of the uterus, connected to the uterus. There are two tiny openings near the corners of the uterus, and the other side is umbrella-shaped and can pick up eggs.
Some aspects of the patient’s medical history can serve as diagnostic evidence for diagnosing fallopian tube blockage. For example, previous pelvic adhesion surgery, uterine cleaning due to miscarriage, surgery for ectopic pregnancy, and especially cases of ectopic pregnancy can all provide diagnostic references.
Because these are high-risk factors, these medical histories can be considered when diagnosing fallopian tube blockage, thus reaching a more reliable conclusion.
2. Clinical manifestations
The clinical manifestations of the patient are also an important basis for diagnosing fallopian tube blockage. Clinically, many women choose to seek medical attention because, being of childbearing age, they are unable to conceive no matter how hard they try. Both partners undergo reproductive cell examinations at the hospital, as well as examinations for potential problems with the endometrium, ovaries, and pelvis, all of which reveal no issues.
At this point, combined with the patient’s clinical manifestations, such as infertility, lower abdominal discomfort, etc., it can be considered whether there is an abnormality. When considering abnormalities usually involves checking whether there is a blockage, which may lead to infertility. Additionally, lack of flow may cause discomfort in the lower abdomen.
3. Laparoscopic examination
As is well known, laparoscopy is a minimally invasive surgical tool, and in clinical use, laparoscopy is very powerful. It can also be used as a diagnosing method. Since the passage of the fallopian tubes is very narrow, it is generally impossible to observe them with an endoscope. In such cases, liquid can be passed, and combined with observation under laparoscopy, it can be determined if the liquid passes successfully. If it does, it indicates that the oviducts are unobstructed; otherwise, it indicates obstructed.
In summary, laparoscopy is an essential method. For women suspected of having fallopian tube blockage, this method can be considered for differentiation.
Master these three methods to safeguard women’s health:
1. Regular Female Health Assessments
Preventing issues is better than solving them. Eliminating risks at the budding stage can minimize harm to the greatest extent. Women’s health assessments are simple and hold significant positive significance.
For instance, gynecological manual examination can preliminarily detect any abnormalities in the external genitalia, vagina, cervix, uterus, fallopian tubes, ovaries, and pelvic cavity walls. Abdominal ultrasound can further explore the presence of uterine tumors, endometriosis, ovarian masses, pelvic inflammatory masses or abscesses, and other conditions.
Two increasingly emphasized tests in recent years are thin-layer liquid-based cytology (TCT) and human papillomavirus (HPV) testing. Through the combined testing of these two methods, the screening rate for cervical cancer has been greatly improved, making it an effective means of preventing and detecting early cervical lesions.
Therefore, it’s crucial for adult women to undergo regular health assessments annually to prevent problems before they occur and minimize the risk of diseases.
2. Timely Fertility Assessments
Women’s fertility refers to the likelihood of pregnancy in each ovulation cycle. Factors affecting fertility include ovarian reserve capacity, fallopian tube patency and function, and uterine fertility potential. Issues in these aspects often manifest covertly.
For example:
When ovarian reserve capacity decreases, there may not necessarily be ovarian lesions, but problems may be detected when examining relevant hormones. These issues may affect follicle development and ovum release within the ovaries, indirectly leading to difficulty in conception.
Many hormones affecting fertility, such as luteinizing hormone, follicle-stimulating hormone, estradiol, etc., once low, may indicate ovarian dysfunction, which can influence the conception process.
Factors such as women’s age, work environment, lifestyle, dietary habits, reproductive history, medical history, family genetics, etc., may interfere with fertility potential to varying degrees.
Therefore, any woman with plans for pregnancy can undergo fertility assessments to understand her current level of fertility and make a reasonable estimate for future fertility timing and plans.
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