Endometriosis and closed fallopian tubes
L'endometriosis it is a common and painful disease and is one of the leading causes of infertility in women. Let's clarify this, also focusing on one of the most annoying consequences of endometriosis, namely the closed fallopian tubes.
In this article
- Endometriosis, what is it
- Endometriosis, symptoms
- Pregnancy with endometriosis, treatment
- Closed fallopian tubes
- Closed tubes and pregnancy
Endometriosis, what is it
During a normal menstrual cycle, the lining of the female uterus, called endometrium, begins to thicken to prepare for pregnancy. If she does not get pregnant that month, the woman loses her endometrium during menstruation and the process starts all over again.
In endometriosis, for reasons that researchers do not yet fully understand, a tissue very similar to the endometrium begins to grow outside the uterus in various places where it shouldn't.
It can appear in or on the ovaries, or on the fallopian tubes, on the various structures that support the uterus, and on the lining of the pelvic cavity. Sometimes, it can also be in other places like the cervix, vagina, rectum, bladder, intestines, etc.
The problem is that this fabric it behaves like normal endometrial tissue - accumulates and breaks with menstruation - but cannot be eliminated during the cycle.
As a result, this tissue causes irritation and inflammation and can prevent eggs from exiting the ovaries or being fertilized by sperm.
Can also scarring and blocking the fallopian tubes, preventing the egg and sperm from meeting.Read also: Endometriosis: Causes, Symptoms and Treatment
In addition to various fertility problems, some common symptoms of endometriosis I'm:
- pelvic pain;
- painful intercourse;
- painful urination;
- painful bowel movements;
- severe abdominal pain;
- lumbar back pain;
- spotting periods between menstrual cycles;
Some women with endometriosis have no symptoms.Read also: Endometriosis: the point about the disease
Pregnancy and endometriosis, possible treatments
It is important to know that most women who have endometriosis can conceive normally. But if you are having trouble getting pregnant, endometriosis could be the cause.
To find out, the doctor may suggest a laparoscopy. In such a procedure, a surgeon inserts a small camera through a tube into the abdomen to check for abnormal endometrial tissue. Later, the surgeon may want to confirm the diagnosis with a biopsy.
If endometriosis is diagnosed, there are several treatment options, depending on the severity of the disease.
Medicines, alone or in combination with surgery, can often reduce inflammation and pain. If you opt for surgery in agreement with your doctor, the latter may attempt to remove as much "diseased tissue" as possible.
Surgery significantly improves some women's chances of getting pregnant. However, women with severe endometriosis have greater difficulties in becoming pregnant.Read also: Female infertility, tubal and peritoneal factors
Closed fallopian tubes
Sometimes, the fallopian tubes can be blocked or scarred due to various diseases or infections or of 'endometriosis, sexually transmitted diseasesand pelvic inflammatory disease.
When an egg is released from one of the ovaries, it travels through one of the fallopian tubes, which are narrow ducts that connect the ovaries to the uterus. Under normal conditions the egg joins the sperm in the fallopian tubes during conception.
However, the fallopian tubes are extremely fragile. If they are blocked, there is no way for the egg to be fertilized by the sperm.
Closed tubes and pregnancy
To figure out if the fallopian tubes are blocked, your doctor may suggest one laparoscopy or a 'hysterosalpingography (HSG). In an HSG test, a dye liquid is inserted via a catheter through the vagina (cervix) into the uterus. Afterward, x-rays are taken to see if there is a blockage or if the dye flows freely into the abdomen.
Another method of HSG can be performed with ultrasound (instead of X-rays) using saline and air or foam.
If you have problems with your fallopian tubes, your doctor may recommend a surgery to correct the damage or to unblock the tubes.
If you ovulate normally, your doctor might also consider it assisted reproductive techniques that completely bypass the fallopian tubes. The latter can include intracytoplasmic sperm injection (ICSI), artificial insemination directly into the uterus (IUI) and in vitro fertilization (IVF).Read also: Menstrual cycle, get to know it
Sources for this article:
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