Fallopian tubes are attached to the uterus on its either side and are in close contact with both the ovaries. They have fine hair like structures on the inside. In the normal course an ovary from either side releases an egg every month which is propelled through the respective fallopian tube towards the uterus with the help of these hair like structures. Similarly, these hair like structures aid the sperm to travel through the fallopian tube towards the egg for conception. Further, the fertilised egg has to travel through the fallopian tube towards the uterus for implantation.
These processes get hampered if the fallopian tubes get blocked.
Fallopian tubes can get blocked due to scar tissue or adhesions which can be caused due to
- Pelvic inflammatory disease- This condition can lead to inflammation, scarring and hence blockage of the fallopian tubes.
- Sexually transmitted disease- Diseases like gonorrhoea or chlamydia can lead to inflammation, scarring and subsequent blockage of fallopian tubes.
- Surgery related to fallopian tubes or nearby organs –This can cause scarring and hence blockage of the fallopian tubes.
- History of burst appendix- Fallopian tubes can get infected as a result of a ruptured appendix hence causing scarring of fallopian tubes leading to blockage.
- Previous ectopic pregnancy – A condition in which the fertilised egg gets implanted in the fallopian tube instead of uterus.
- Endometriosis – In this condition the tissue of the inner lining of uterus (endometrium) grows elsewhere as well such as inside or outside the fallopian tube, outer surface of uterus etc. This can cause blockage of the fallopian tubes.
- Hydrosalphinx – This is a swelling due to collection of fluid within the fallopian tubes.
Hysterosalpingography (HSG)- This is a type of x- ray used to examine the inside of a fallopian tube. A dye is introduced into the uterus and fallopian tubes. An X-ray film is then taken to observe the passage of dye. A free spillage of the dye through the fallopian tubes indicates both the tubes being patent or open. On the other hand, if the dye is not observed to pass through the tube/tubes, blockage is indicated.
Laparoscopy – This is a surgical diagnostic procedure where in a long thin tube having a high resolution camera attached to it is introduced in the body to examine the organs from within.
This is a minimally invasive procedure giving more clarity than a HSG.
Resolving the blockage in fallopian tubes needs a very detail and systematic approach. Based on its experience Dyumna Women’s clinic has designed a protocol to address fallopian tube blockage.
Being the core of Ayurved, a detail history helps us make a personalised plan that fits into our protocol.
Personalised medicines- Herbomineral medicines are prescribed to be orally consumed. These focus on the complete body metabolism as well as the health & hygiene of reproductive organs.
Apart from this a very special treatment known as uttarbasti proves to be very efficient in resolving tubal blockages. This procedure involves intrauterine instillation of medicines under aseptic conditions. 3 to 5 sittings of uttar basti are performed starting from 5th to 6th day of menstrual cycle. This process is repeated for 3 to 5 months as needed.
Life style management-
We suggest desired changes related to diet & sleep. We also recommend specific exercises and Pranayam (breathing techniques) to enhance the overall outcome of treatment.
Diagnostic method, preferably HSG is repeated after completion of treatment protocol to check the status of fallopian tubes.
Blockage in fallopian tubes usually does not cause any symptom. Sometimes symptoms such as pain may be observed which is related to the underlined cause of the blockage such as endometriosis or infection.
Fallopian tube blockage is most of the times diagnosed in the course of investigations related to infertility as this blockage directly hampers the process of meeting up of sperm & ovum that is the process of conception.
A single tube blockage reduces the chances of conception by 50 %, but conception is still very much possible provided all other factors in both partners are at optimum level. Blockage in both the tubes is a definite cause of infertility and needs to be resolved for normal conception to occur.