The appearance of tubal infertility is due to anatomical and functional disorders of the fallopian tubes, or the adhesion process occurring in the pelvic region. This pathology accounts for 20 to 30% of all cases of female infertility.
The fallopian tubes in a woman's body perform a transport function, due to the movement of their walls and the flow of fluid inside them, certain substances are transferred first for the ovum, and then, in case of fertilization, for the zygote. This process is regulated at a complex neurohormonal level. Physiological mechanisms performed in the fallopian tubes regulate the intake of spermatozoa, their transport to the egg and the subsequent nutrition of the gametes and the embryo. Too fast, or, conversely, slow movement of the embryo can affect its further development.
Causes of pathology
Disorders of the functioning of the fallopian tubes is a violation of their contractile activity, without obvious anatomical and morphological changes. With their organic lesion, signs are already visually determined and obstruction of the pipes is diagnosed against the background of adhesions, bandaging, torsion or compression by formations of a pathological nature.
Such violations of the function of the fallopian tubes can lead to: hormonal imbalance (against the background of a violation of the production of some female sex hormones) and deviations in the system of central regulation (caused by chronic stress on the basis of infertility). Local accumulation of biologically active substances, intensively formed during chronic inflammatory processes in the uterus and appendages, which is provoked by the present infection or endometriotic process, can also be the cause of the appearance of such a pathology.
Surgical interventions on the appendages, uterus, intestines, invasive diagnostic or therapeutic procedures (hydrotubation, hysterosalpingography, diagnostic curettage), inflammatory or traumatic complications after abortions, childbirth, as well as severe forms of external genital endometriosis - are the causes of pathology of the fallopian tubes, organic and peritoneal infertility.
Treatment of tuboperitoneal infertility
For treatment, surgical laparoscopy is used (which is supplemented in the postoperative period with special restorative therapy and stimulation of ovulation), and IVF.
Laparoscopic reconstructive plastic surgery restores the anatomical patency of the fallopian tubes. This procedure is prescribed to patients who have no contraindications to surgical intervention. The IVF procedure is used when the initially established uselessness of performing reconstructive plastic operations (in the absence of fallopian tubes or with their strong anatomical changes), or after ineffectual surgical treatment.