What are the reasons for fallopian tube blockage?

Patient's question:

What causes fallopian tube blockage? What is the reason for blocked fallopian tubes? I have been trying to conceive for a long time but haven't been able to get pregnant. Recently, I went for a checkup and was told that my fallopian tubes are blocked. Is it serious? What else do I need to do?

Doctor's answer:

1. Pelvic Infection: Pelvic inflammatory disease is a major cause of tubal infertility.
2. Appendiceal Perforation: Women with a history of appendiceal perforation have an increased risk of tubal damage.
3. Primary Tubal Obstruction: Congenital tubal obstruction, present from birth, is rarely seen.
4. Miscarriage-Related Infection: Miscarriage can terminate early pregnancy and may also cause infection.
5. Adhesions: In the pelvis, adhesions typically cover the ends of the ovaries and fallopian tubes or adhere the fallopian tubes to other tissues.
6. Secondary Tubal Obstruction: This is a common cause of tubal obstruction, resulting from certain disease factors and human-induced causes, and is also a primary reason for tubal blockage. Common emboli include endometrial fragments during menstruation and blood clots.

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