Patient's question:
My aunt has been married for three years and has never been able to conceive. She has been treated at an infertility hospital in Hubei, but it hasn't been effective.Doctor's answer:
The symptoms of fallopian tube blockage include abdominal discomfort: varying degrees of pain in the lower abdomen, mostly in the form of subtle discomfort, accompanied by aching, swelling, and a sense of heaviness or dragging in the lower back and sacral region, often aggravated by 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.Irregular menstruation: The fallopian tubes are adjacent to the ovaries, and in general, diseases of the fallopian tubes do not affect ovarian function or menstrual volume. However, when inflammation affects the ovaries and impairs their 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 leading to uterine fibrosis, incomplete uterine involution, or adhesion-related uterine position abnormalities can also cause excessive menstrual bleeding.
Infertility: Damage to the fallopian tubes can lead to blockage and infertility, with secondary infertility being more common. Dysmenorrhea: Due to pelvic congestion, blood stasis-related dysmenorrhea may develop, often with abdominal pain starting one week before menstruation and worsening as the period approaches.
Other symptoms: Increased leukorrhea, painful intercourse, gastrointestinal disorders, fatigue, reduced tolerance to labor, and neurological or psychiatric symptoms such as depression may occur. If the fimbriae are blocked, a fallopian tube scope can be used for examination and treatment.
Fallopian tube blockage can cause infertility, so it is recommended to seek evaluation at a professional infertility clinic. To diagnose whether the fallopian tubes are blocked, methods such as tubal fluid (gas) infusion, hysterosalpingography (HSG), and laparoscopic tubal fluid infusion can be used to assess the fallopian tubes' course, patency, and pelvic tissue adhesions.
A fallopian tube scope allows direct visualization of the inner lining of the fallopian tubes, enabling assessment of their functional state—advantages that other diagnostic methods lack. Combining the fallopian tube scope with laparoscopy and HSG is currently the best approach for evaluating fallopian tube patency and function.
Once the blockage or adhesion is identified, the key is to clear it and resolve the issue. At this stage, the German visual fallopian tube scope excels. Changsha Sunshine Infertility Hospital has introduced the German visual fallopian tube scope, which precisely clears blockages and focuses on solving long-term infertility.
The German visual fallopian tube scope is a minimally invasive, visual diagnostic and treatment technology for tubal infertility, performed safely and painlessly. Under direct hysteroscopic visualization, a catheter and guide wire are inserted through the vagina and uterus to the blocked area of the fallopian tube. The guide wire clears the blockage, and a clearing fluid is injected into the obstructed site. This approach is highly effective, directly targeting the problem and avoiding the pain associated with traditional repeated irrigation and gas insufflation or medication.
For severe cases, laparoscopic-assisted treatment can be combined. During the procedure, the fallopian tubes are cleared while pelvic adhesions are simultaneously released using advanced laparoscopic technology. This integrated approach achieves faster and more effective clearing, especially for treating long-term infertility.
Wishing you good health and a speedy pregnancy!