Tubal factor infertility: Diagnosis and Management
Pregnancy & Covid 19
July 31, 2021

Tubal factor infertility is one of the common causes of infertility among women. Many women suffer from tubal factor infertility in India. During the visits to one of the best IVF centers in India, the specialist will diagnose the problem minutely and then prescribe the appropriate remedy.  

The thin tubular tissue which links both the ovaries to the uterus is known as the fallopian tube. An egg is released from an ovary and moves towards the uterus through these tubes. Sperm will travel up towards the egg if they are present in the uterus.

Fertilization generally happens in the fallopian tubes. Cilia, a hair like structure present inside the tubes, help in movement of embryo towards the uterus. After this, it takes nine months to develop in the uterine lining.

Now let us understand the tubal factor infertility:-

Tubal factor infertility arises when the egg and sperm cannot unite due to obstruction in the fallopian tubes. About 25-30% of all instances of infertility are due to tubal factor infertility. Situations with totally blocked fallopian tubes and cases where only one tube is closed or scarring narrow the tubes are all examples of the condition.

What are the causes?

Infection is the most prevalent reason for tubal factor infertility. Other causes of scarring and blockage include:

  • Endometriosis is a condition where the tissue underlying the uterus develops outside of it.
  • An infection in the female reproductive organ, a pelvic inflammatory disease (PID).
  • Gonorrhea and chlamydia, the most prevalent sexually transmitted diseases (STIs).
  • An ectopic pregnancy occurs when the embryo develops outside the uterine cavity.
  • Surgery in the past.

Patients who have had a problem with previous abdominal operations, particularly operations for ectopic pregnancies or damaged appendix, are at a greater risk of tubal factor infertility. Tubal issues are more prone to arise due to the location of these disorders.

Symptoms:

The inability to conceive is the most common sign of tubal factor infertility. Many women can stay unaware of the complications related to fallopian tubes until they visit a doctor.

Persistent lower abdomen discomfort, a symptom of pelvic inflammatory illness, can be a symptom of tubal factor infertility. 

Treatments available for tubal factor infertility: 

Surgical and nonsurgical methods to repair the damaged tube are the two effective remedies for this complication. If these do not work, your fertility doctor may prescribe In Virto Fertilization (IVF) treatment for pregnancy. If the IVF specialist finds that IVF has the highest probability of success and is the best option for you, it may be prescribed as the first remedy.

The fertility specialist can repair a fallopian tube in various techniques, and they pick one depending on the location and severity of tubal damage.

Cannulation of the tube: 

Tubal cannulation is the procedure for unblocking the fallopian tubes by inserting a catheter attached with a balloon into them. It is an invasive technique that will be done at the hospital. If an imaging examination reveals a proximal obstruction in both fallopian tubes, tubal cannulation should be performed.

Fimbrioplasty:

It is a laparoscopic surgery that opens the fimbriae, situated near the ovary at the end part of the fallopian tube. Only patients with minor tubal injury should consider this approach.

Salpingectomy:

Salpingectomy is a surgical procedure that removes the damaged fallopian tubes.

Salpingostomy:

Salpingostomy is a surgical procedure that produces a surgical hole in the fallopian tube without removing it. It is performed to treat ectopic pregnancy.

In Virto Fertilization: 

Instead of repairing the fallopian tube, the doctor may entirely opt-out of operation and the tubal damage problem. IVF has been the predominant treatment for tubal factor infertility as success rates have increased in recent years. IVF treatment for tubal factor infertility has a high success rate in women under thirty-nine, provided they have no other infertility issues. Treating complications with fallopian tube and tubal factor infertility is possible, and one can enjoy motherhood without any complications. 

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