Laparoscopic Surgeries for Blocked Fallopian Tubes

The fallopian tube is a part of the female reproductive system that plays an important part in conception. The ovum from the ovaries of a female is picked up by the fallopian tube. The fallopian tube is the place where the sperm and egg meet and fertilization takes place. It is a muscular tube which is lined by ciliated epithelial cells. The cilia is a hair-like structure present that helps in moving the embryo down to the uterus after 3 days of fertilization and helps the sperm to travel up from the uterus.

The fallopian tube can be blocked by the scar tissue produced due to injury or damage to any part of the tube. The blocked fallopian tube is one of the possible reasons for infertility. Blockage of the fallopian tube is known as tubal occlusion. There are no direct symptoms of tubal occlusion, but a number of factors may show a risk.

Symptoms:

• Difficulty in conceiving may be the only symptom present in a woman having fallopian tube blockage.
• Woman having blocked fallopian tubes may show symptoms such as pain in the pelvis or belly.
• Women can suffer from this pain regularly at the time of their period or can be constant.
• At times blockage of the fallopian tube may cause a fertilized egg to get stuck in the tube. This is termed as an ectopic pregnancy. This is not detected in a scan initially and a woman can show symptoms of pregnancy such as stomach pain on one side of the body, vaginal bleeding. You should always consult a doctor if you see such symptoms.

Causes

The fallopian tube can be blocked due to many reasons. Few of the condition are discussed below.

• Having a pelvic infection history
• A previous condition of a burst appendix
• Sexually transmitted diseases such as gonorrhoea or chlamydia can cause fallopian tube blockage.

Treatment for blocked fallopian tubes

Fallopian tube cannulation can be done by HSG to remove the block.

It can also be done by hysteroscopic cannulation that is removing a block through a guidewire passing the tubes through the vagina via a hysteroscope.

But tubal blockage cannot be removed always. If the tubes are damaged very badly, it is better to do In Vitro Fertilization.

In IVF the egg and sperm are joined. So fertilization happens in the lab instead of the fallopian tube.