Patient's question:
I've been married for two years, but haven't been pregnant yet. It might be due to blocked fallopian tubes. How can I get checked to find out?Doctor's answer:
The symptoms of fallopian tube blockage are as follows:1. Abdominal pain: Dull pain in the lower abdomen, often a subtle discomfort, accompanied by aching, swelling, and a sense of heaviness in the lower back and sacral region, which may worsen due to fatigue. Due to pelvic adhesions, there may be pain during bladder or rectal fullness or emptying, or other bladder/rectal irritation symptoms, such as frequent urination or tenesmus.
2. Irregular menstruation: The fallopian tubes are adjacent to the ovaries. Generally, diseases of the fallopian tubes do not affect ovarian function or menstrual volume. However, when inflammation affects the ovaries, leading to damage to ovarian function, menstrual abnormalities may occur. The most common irregularities are frequent menstruation and excessive menstrual flow, which may result from pelvic congestion and ovarian dysfunction. Chronic inflammation can cause uterine fibrosis, incomplete uterine involution, or abnormal uterine positioning due to adhesions, all of which can lead to excessive menstrual bleeding.
3. Infertility: Damage to the fallopian tubes may cause blockages, leading to infertility, with secondary infertility being more common.
4. Dysmenorrhea: Due to pelvic congestion, blood stasis-induced dysmenorrhea may occur. Pain usually begins one week before menstruation and intensifies as the menstrual period approaches, worsening until menstruation starts.
Recommendations:
Methods for diagnosing fallopian tube blockage:
1. Ultrasound contrast imaging;
2. Laparoscopy;
3. Tubal irrigation;
4. Hysterosalpingography (HSG).
Opinion/Suggestion:
Fallopian tube blockage can be cured with timely treatment. If you suspect this condition, it is recommended to seek medical attention at a regular hospital as soon as possible.
Wishing you good health!