The causes of obstruction of pipes
Tubal obstruction is a condition in which the egg can't reach from the ovary to the uterus. The reasons can be many.
One of the most common factors leading to obstruction of the fallopian tubes, chlamydia and other sexually transmitted diseases. Since the majority of the asymptomatic woman is not even aware of the presence of her infections, the activation of which leads to inflammation in the pelvic cavity.
Another reason that causes adhesions, surgery on the pelvic organs. Similar postoperative ileus can develop after myomectomy, perforated appendicitis, diagnostic curettage of the uterine cavity, remove ovarian cysts, and operations to remove ectopic pregnancy.
Also the reasons for the emergence of obstruction of the fallopian tubes can become infectious process in the uterus, caused by abortion or miscarriage, a history of endometriosis and an ectopic pregnancy in the past.
The probability of pregnancy when obstruction of the fallopian tubes
Pregnancy when the diagnosis of "tubal occlusion" is theoretically possible, but it depends on many factors. Partial patency may affect one or both fallopian tubes. When it at least some part of the lumen of the fallopian tube is open. Through the remaining clearance is quite possible the penetration of the egg in the uterus, so the pregnancy can occur naturally. It is clear that the probability of conception in such conditions is lower than in normal tubal patency, but still available.
The variant in which one tube is completely closed, and the second partially passable. In this case, it is also possible to pregnancy. If one fallopian tube clean from adhesive processes and fully healthy, and the second is passable only partially or completely closed, the probability of pregnancy is very high.
In all these cases, in the initial stages of trying to conceive are in normal mode, that is, by keeping track of auspicious days and compliance with a healthy lifestyle. However, if pregnancy does not occur within a year, doctors recommend treatment with the aim not only of improving the health of women, but in increase chances of conception.
Treatment of obstruction of the fallopian tubes
Treatment can be both conservative and operative. Conservative treatment involves anti-inflammatory course. However, if adhesions developed much, such a method is completely useless. In this case, if in a woman's body undergo regular ovulatory cycles and her uterus is able to fetal development, schedule the surgery, which is performed through incisions in the abdominal wall. During the operation, the surgeon removes the impassable section of the pipe, and the remaining two parts of the stitches. The patients are given rehabilitation therapy, after which the possibility of a natural pregnancy.
However, there are times when both fallopian tubes completely impassable. In this case, to get pregnant in the usual way impossible. In addition, complete obstruction is not operated, as a function of shell lining the fallopian tube is not reversed. In this case, you should resort to using assisted reproductive technologies such as in vitro fertilization.
