Tubal infertility: treatment, symptoms, prices

What is tubal infertility?

Most often, tubal infertility is characterized by inflammatory processes that cause obstruction of the fallopian tubes.

Probably the emergence of an adhesive process around the tube that interferes with the normal fusion of the egg with the sperm, in this case they speak of tubal peritoneal infertility.

Inflammatory processes that cause tubal infertility, most often can develop as a result of spreading to the fallopian tubes of infection.

The causative agents of infection include:

• fungal lesions;
• of the gonococcus;
• protey;
• E. coli;
• streptococci;
• of staphylococci.

Mycoplasma and hdamidia infections are becoming more important today.

Tuberculosis is also capable of causing tubal infertility, especially since the number of tuberculosis patients is growing at the present time.

Overlapping the lumen in the pipes occurs under the influence of an infectious inflammatory process.

Following this may occur:

• periturbar fusion;
• obliteration;
• kinks;
• infiltration of pipe walls.

Diagnostics of tubal infertility

For diagnostics is used:

• study of patency of pipes;
• bimanual examination in the field of uterine appendages;
• history data.

The method of metrosalpingography is considered more perfect( examination of patency of the fallopian tubes with the help of contrast medium and radiography).

The most informative method for determining the patency of pipes is ultrasound( ultrasound).

It is also good to determine the patency of pipes using the method of chromolaparoscopy( contrast fluid is injected into the uterine cavity).This method is considered the most modern and perfect for determining the level of patency of pipes.

Symptoms of tubal infertility

The main complaint of women in this situation is the inability to become pregnant with regular sexual intercourse without the use of contraceptives.

In chronic inflammatory processes, endometriosis and adhesions in the small pelvis, complaints can arise: dyspareunia;impaired intestinal function;dysmenorrhea;stomach ache.

Treatment of tubal infertility

Treatment usually begins with conservative measures.

The patient is prescribed anti-inflammatory complex therapy, which includes:

• activation of the functioning of the ovaries;
• correction of abnormalities of the fallopian tubes;
• restoring their patency;
• cupping of inflammatory processes.

Conservative therapy is a phased approach, consisting of:

• non-pharmacological treatment;
• pharmacotherapy.

The second stage consists of physiotherapy sessions:

• hydrogen sulphide baths;
• therapeutic mud;
• Ozokerite;
• radon baths.

The third stage is carried out after the recovery of patency of the fallopian tubes, but with the remaining violation of their functional state.

The main treatment is hydrogen sulphide bath.

If there are no positive results of treatment, a surgical operation is performed.

Basic surgical procedures undertaken on the fallopian tubes:

• tube transplantation into the uterine cavity;
• salpingo-salpingoanastomosis( tube resection);
• salpingostomatoplasty( creating a functioning opening in the tube
• salpingolysis( ridding of the fimbria from adhesions)

Contraindications to the operation of

Contraindications include:

• high duration of the disease( more than ten years)
• age more than 35 years
• tuberculosis in the organs of small
• exacerbation of inflammation in the uterine appendages;
• adhesion process III degree in the pelvic organs;
• too short tubes;
• persistent anovulation.

Afterrovedeniya surgical operations on pipes patients need:.

• dispensary observation;
• spa treatment

Prices for treatment of tubal infertility in Moscow are in the range from 20 000 to 70 000 rubles

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Video: Operation with tubal infertility

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