Existing studies have shown that 25% to 35% of women infertility are caused by fallopian tubes, and B -ultrasound can often find the formation of tubal stagnation.Volunteal water can significantly reduce the success rate of IVF.Do I need surgery?
Do I need surgery?
Volcanion of fallopian tubes is a more common type in chronic fallopian tube inflammation. When tubalitis, the umbrella end is locking, the inflammatory secretion of the cells accumulates in the lumen, or due to acute infection of tubal pus, inflammation control in the lumen after inflammation controlThe pus was absorbed and eventually became a water -like liquid, forming a fallopian tube accumulation.
The cause of the water accumulation of fallopian tubes is generally caused by the sequelae of pelvic inflammation. Artificial abortion, natural abortion, drug flow, induction of labor, unclean sexual intercourse, pelvic infection, etc., lead to the adhesion, congestion, edema, and obstruction of the fallopian tube.Washing tubeitis is not thorough or inaccurate, while the postpartum fallopian tube adhesion and water accumulation.
Generally, the fluid pus becomes slurry, that is, the water accumulation of the fallopian tube. In fact, acute inflammation is often cured, and the sequelae of the tube accumulation of the sequelae will have no symptoms of abdominal pain.Because the fallopian tube and the uterine cavity can still be connected when the fallopian tube is accumulated. The agglomerate liquid is discharged through the vagina.Become a pelvic effusion.
The diagnosis of fallopian tubes can be discovered by fallopian tubal angiography and B -ultrasound.
(Figure: Volcanion of fallopian tubes in fallopian tubes)
In vitro fertilization-embryonic transplantation technology was originally born infertility caused by the treatment of fallopian tubes, but the tubal stagnant water can significantly reduce the success rate of IVF.Many studies have shown that the water accumulation of fallopian tubes can significantly reduce embryo planting rate, clinical pregnancy rate, and increase its abortion rate and ectopic pregnancy rate.
At present, the reasons for the influence of the puzzle of fallopian tubes include: (1) the inflammatory stagnant water return to the uterine cavity, which affects the development of the embryo and affects the development of the embryo;It can change the endometrium and mechanical emashing endometrium to inhibit embryo planting bed.
The clinical symptoms of fallopian tubes are not obvious, and many patients have not perceived their illness after the onset.When the patient wanted to have a baby after getting married, he went to the hospital to check the disease when he was not pregnant.Patients with light accumulation and no fertility requirements do not need to take any measures for treatment. Pay attention to increasing resistance and prevent acute inflammatory seizures.If there is a fertility requirement, surgery is the main method for treating tubal stagnation.Especially when IVF, surgical treatment can increase the success rate.
The surgical method of fallopian tube accumulation includes fallopian tube resection, proximal ligation, proximal embolism, stagnic water pumping, and tubal remote oral surgery.After the fallopian tube stagnation, the accumulation of water recurrence was quickly recurred, and the fallopian tube resection can completely remove the fallopian tube and increase the success rate of IVF.However, some young couples do not necessarily understand the resection of the fallopian tubes. It is difficult to accept the fallopian tube without giving birth; some patients only want to perform "tubal dredging surgery".The function of the fallopian tube has been basically lost. After a period of time, more severe adhesion may occur, and the second surgery has to be performed completely to completely cut off the fallopian tube.
Studies have shown that for women with normal ovarian function, removing bilateral fallopian tubes do not significantly affect the success rate of ovarian reserves and IVF. For patients with low ovarian reserves, they still need to be cautiousWhether the embryo is frozen first.Select fallopian tube blocking or resection before frozen embryo transplantation.
When surgical resection, the doctor will try to keep the tubal membrane as much as possible to avoid using electrocoagulation and reduce damage to ovarian blood supply.When the pelvic adhesion was severe during the operation, the wounds were large, the risk of damage increased, the ovarian blood supply was difficult to save, and the ovarian reserves decreased.For these patients, surgery should be more meticulous and careful to avoid further damage to ovarian function.
All in all, if infertility is found to be related to the water accumulation of fallopian tubes, you can ask your doctor to fully evaluate the situation and comprehensively analyze the conditions and difficulty of surgery.After the doctor’s comprehensive analysis and confirmation, weighing the pros and cons, and the urgent requirements of fertility, you can consider surgical treatment.During the operation, you must choose an experienced doctor to protect the ovaries as much as possible!