Fallopian tubes are called paired tubularthe organ that connects the abdominal cavity with the uterine. Uterine or fallopian tubes are a kind of "transport system" through which the egg moves from the ovary to the uterus.
In order for the egg to move, the muscle shells of the tubes periodically contract, causing peristalsis, which becomes most intense during ovulation.
The resulting spikes in variouspipes, are the reason for their obstruction, as a result of which spermatozoa can not reach the ovule and pregnancy does not occur. Another situation may arise when the egg is still fertilized, but due to the obstruction of the tubes it can not reach the uterus. In this case, tubal pregnancy develops - a condition that threatens the life of a woman.
Most often, the reason for the spikes inpipes, is some sort of inflammatory process. Inflammation can be caused by some kind of STD, for example, chlamydia. Also, the emergence of adhesions are facilitated by surgical interventions, especially abortions, complicated births, diseases such as endometriosis, adnexitis, especially chronic, salpingitis.
In most cases, spikes in pipes are notcause special anxiety for a woman. Many even do not know about their illness until they begin to plan pregnancy. And only after unsuccessful attempts to conceive, women turn to doctors, where they can diagnose - the adhesions of the fallopian tubes.
The main method of diagnosing this diseaseis salpingography. This technique involves the introduction of a contrast tube in the lumen of the fallopian tube and an X-ray examination. Also, to make a diagnosis, ultrasound is used, introducing a physiological solution before testing into the tube lumen.
To cure spikes in pipes, resort totherapeutic and surgical methods, depending on the extent of the lesion and the cause that triggered the disease. Therapeutic treatment is effective if it is started within 5-6 months after the onset of the inflammatory process. If the inflammatory process has taken a chronic course, then conservative therapy, as a rule, does not bring a positive result.
In previous years, such treatment methods have been used,like blowing pipes or injecting liquid under pressure into them. However, such techniques are not very effective and threaten with complications in the form of excessive stretching of the fallopian tubes.
Today, most often, pipe adhesion is treated bysurgical intervention. The operations are performed without a cut, that is, using laparoscopy. During the operation the spikes are dissected, and the patency of the pipe can be restored. However, such an operation is not always successful. So, in the presence of adhesions around pipes, it is possible to cope with the problem in about 60% of cases. But in the presence of adhesions inside the pipe, success can be achieved only in one case out of ten.
With complete obstruction of the pipes, even the fullthe mechanical restoration of the lumen is ineffective, because it is still impossible to achieve normal functioning. With significant changes in the pipes caused by inflammation, their removal is shown, since it is impossible to restore their patency. Moreover, the presence of an inflamed area of the tubes can become an obstacle to the onset of pregnancy as a result of IVF.
It must be said that if the first operationrestoration of patency of the fallopian tubes did not give a positive result, then it does not make sense to carry out the second one. In this case, the only way to conceive is an IVF operation.
The prevention of the adhesion process in the pipes is the timely treatment of inflammatory and infectious diseases, as well as the absence of abortion and the prevention of infection with STDs.
