Patient's question:
I have had an abortion once, and it has been a few years. Now, I have fluid accumulation in the fallopian tubes. Such conditions may potentially lead to ectopic pregnancy, which is also very dangerous. I would like to ask how to treat fluid accumulation in the fallopian tubes and what causes it.Doctor's answer:
The common factors that cause tubal effusion and obstruction mainly include: induced abortion, spontaneous abortion, medication-induced abortion, induced labor, unclean sexual intercourse, pelvic infection, etc., which lead to adhesion, congestion, and edema of the fallopian tube wall, resulting in obstruction. This prevents sperm from combining with eggs, ultimately leading to infertility. Tubal effusion is formed due to obstruction at the fimbriae of the fallopian tube, and this obstruction is caused by pathogenic infection leading to fallopian tube inflammation. Due to bacterial infection, white blood cell infiltration causes swelling of the endometrium, edema of the stroma, and exudation, leading to the shedding of fallopian tube mucosal epithelium. Additionally, due to the proliferation of surrounding fibrous tissue and the organization of granulation tissue, the mucosa becomes adhered or the fimbriae become adhered, resulting in fallopian tube blockage. When the fimbriae are adhered, it forms fimbrial obstruction. During the acute phase of fallopian tube inflammation, patients often have a history of abdominal pain. However, when tubal effusion turns into serous fluid (tubal effusion) or is absorbed by the body, the inflammation is often already resolved, so patients with tubal effusion usually do not experience abdominal pain. Since the dilated and undilated parts of the fallopian tube can still communicate during tubal effusion, patients often have intermittent vaginal discharge. Infertility is often the only manifestation of tubal effusion. Tubal effusion can also induce ectopic pregnancy.