Tubal Blockage — Best Fertility Specialist Delhi
As a woman’s reproductive organs, the fallopian tubes connect her uterus to her ovaries. You’ll find these two delicate muscular tubes on either side of the uterus. Doing so facilitates the transfer of fertilised eggs from the ovaries to the uterus. A Tubal Blockage, also known as a blocked fallopian tube, occurs when an obstacle prevents the mature eggs from falling from the ovaries into the uterus.
On the other hand, obstruction may not be present but only partially. The risk of an ectopic or tubal pregnancy may then rise. These days, infertile women often have Fallopian Tube Obstruction as their main cause of infertility. When you visit the Best Fertility Specialist Delhi, they will be able to diagnose the problem and offer solutions.
What are the Causes of Tubal Blockage?
Tuberculosis.
Pelvic Inflammatory Disease.
Ectopic Pregnancy.
Tubal Ligation Removal.
Uterine Fibroids.
Genital Tuberculosis.
Complications Lower Abdominal Surgery like Cesarean section.
Signs of a Tubal Blockage
In most cases, a woman may be unaware that she has tubal block because infertility is the sole “symptom.”
Infections or adhesions can cause lower abdominal pain on occasion.
Vaginal white discharge
Aches and pains during sexual activity
Embryos can become stuck in the tube due to the obstruction. Ectopic pregnancy, in which the baby develops in the fallopian tube rather than the uterus, results from this. This is an unusual ailment that can arise when tubes are partially rather than blocked.
How Does Tubal Blockage Lead to Infertility?
Every month, a woman’s reproductive system releases an egg, a process known as ovulation. The egg makes its way to the uterus via the fallopian tubes, which originate in the ovaries. Additionally, the sperm must swim from the cervix to the egg via the uterus and the tubes. The egg typically undergoes fertilisation as it travels through a tube. Pregnancy and fertilisation are both halted when an egg cannot reach the uterus and sperm cannot reach the egg due to a tubal obstruction in either tube.
How to diagnose Tubal Blockage?
You can detect the block in a variety of ways:
HSG or Hystero-Salpingo-graphy
It all starts with a vaginal dye injection into the uterus. The next step is to let the dye flow into the tubes; an X-ray should be able to reveal any open tubes. The tubes won’t be visible if there’s a block, which aids in the diagnosis.
Sono-salpingography
This method avoids the use of dye by slowly injecting a specialised saline solution into the uterus; at the same time, a transvaginal ultrasound can be used to view the tubal structure. The fast process and lack of radiation exposure are advantages.
Laparoscopy
Laparoscopy is the procedure of choice for confirming the presence of a tubal block and it’s done by the Best Fertility Specialist Delhi. At the same time that a technician inserts a telescope through the navel, they simultaneously inject a blue dye into the uterus through the vaginal end. The dye ought to exit both tubes if the tubes are patent. The dye won’t be able to exit a blocked tube. Blocking either tube would prevent the dye from reaching its target.
Treatment of Tubal Blockage
When dealing with Tubal Blockage, there are two main approaches to tubal blockage treatment:
Tubal surgery where an attempt is made to repair the block or make a new opening
ICSI or IVF (assisted reproductive techniques)
Before in vitro fertilisation (IVF) became available, couples who were unable to conceive had only tubal surgery by the Best Fertility Specialist Delhi as an option. But now, thanks to major advancements in IVF technology, tubal surgery is practically unnecessary. We recommend in vitro fertilisation (IVF) exclusively to patients diagnosed with tubal block, rather than tubal surgery, in the majority of cases. Since we are the leading in vitro fertilisation centre in Delhi, we are aware of all the advantages that IVF has over tubal ligation: -
IVF has dropped in price to a point where it’s affordable for the average person. The cost of tubal ligation surgery can vary depending on the procedure.
An in vitro fertilisation (IVF) procedure entails essentially developing eggs, extracting them from the body using a needle and then fertilising them in a controlled environment with sperm. Here, we are essentially avoiding the tubes. Thus, we do the work of the tubes in the lab, which is to bring the egg and sperm together. No matter how stuck, blocked, jammed, or otherwise, the tubes may be, we do not require them at this time. The fact that the mother had a bilateral tubal block in 1978 led to the world’s first in vitro fertilisation procedure. One traditional method of treating tubal block is in vitro fertilisation.
An advantage of in vitro fertilisation is the ability to freeze any surplus embryos for potential use down the road. If the couple gets pregnant and has a child, they can use the embryos they created years ago for a frozen embryo transfer if they decide they want to have another child later on.
The success rate should be the primary focus. The success rate of tubal reconstruction surgery nowadays is, at best, 50–60%, regardless of the skill of the surgeon. What gives? The reason is, that a re-block could occur if the initial condition that caused the block is still active. The cilia within the tubes become inoperable after extensive damage, which is of paramount importance. Due to the ineffectiveness of the cilia, the tubes will remain practically useless even after surgery has opened them. The medical community often jokes that “PATENT tubes, but don’t lead to POTENT tubes” are a possible outcome of reconstructive surgery.
There is always the chance of complications, even with a successful operation. Patients who have their tubes re-opened during surgery, for instance, are more likely to experience ectopic pregnancies in the future.
The term “tubal cannulation” describes the same thing. Tubal cannulation involves inserting a thin tube into the body of the patient through a narrow opening in the tube just outside the uterus. Hysteroscopy is a common tubal blockage treatment. The success rates of in vitro fertilisation are significantly higher than those of tubal cannulation.
If other factors, such as a low sperm count, are present, in vitro fertilizations or in vitro seeding can be successful. In contrast, those other factors will not improve after tube surgery.
Visit the Best Fertility Specialist Delhi for the most effective treatment of Tubal Blockage.
