Patient's question:
In 2002, I had a medication-induced abortion. In April of this year, I underwent an ectopic pregnancy surgery. I would like to ask if this is the cause of the ectopic pregnancy? Additionally, both of my fallopian tubes were removed, and an imaging test was performed on the right tube, which showed normal patency. What else should I pay attention to?Doctor's answer:
Women with chronic tubal inflammation, the fallopian tubes are the tubes through which the fertilized egg reaches the uterine cavity. They have folds inside, and these folds have cilia. Under normal circumstances, the cilia move and the smooth muscle of the fallopian tubes contracts to transport the fertilized egg to the uterine cavity. In women with chronic tubal inflammation, the mucosal folds inside the tube wall re-adhere, narrowing the lumen. At the same time, due to inflammation and inflammation, the cilia of the fallopian tube mucosa are scarred, and the contraction of the smooth muscle of the tube wall becomes weak, making it difficult for the fertilized egg to reach the uterine cavity again.