Spikes in pipes, as the cause of infertility

Fallopian tubes are called the twin tubular organ, which connects the abdominal cavity with the uterine cavity. Uterine or fallopian tubes are a kind of "transport system", through which the egg moves from the ovary to the uterus.

In order for the egg to move, the muscle shells of the tubes periodically contract, causing peristalsis, which becomes most intense during ovulation.

The resulting spikes in the pipes are the cause of their obstruction, as a result of which spermatozoa can not reach the ovum and pregnancy does not occur. Another situation may arise when the egg is still fertilized, but due to the obstruction of the tubes it can not reach the uterus. In this case, tubal pregnancy develops - a condition that threatens the life of a woman.

Most often, the reason that there are spikes in the pipes, is some kind of inflammatory process. Inflammation can be caused by some type of STD, for example, chlamydia. Also, the development of adhesions is facilitated by surgical interventions, especially abortions, complicated births, diseases such as endometriosis, adnexitis, especially chronic, salpingitis.

In most cases, spikes in pipes do not cause any special concern to a woman. Many even do not know about their illness until they begin to plan pregnancy. And only after unsuccessful attempts to conceive, women turn to doctors, where they can diagnose - the adhesions of the fallopian tubes.

The main method of diagnosing this disease is salpingography. This technique involves the introduction of a contrast tube in the lumen of the fallopian tube and an X-ray examination. Also, for the diagnosis is resorted to ultrasound, introducing before the study into the lumen of the tube physiological solution.

To cure spikes in pipes, resort to therapeutic and surgical methods, depending on the degree of injury and the cause that triggered the disease. Therapeutic treatment is effective if it is started within 5-6 months after the onset of the inflammatory process. If the inflammatory process has taken a chronic course, then conservative therapy, as a rule, does not bring a positive result.

In previous years, such methods of treatment as blowing pipes or introducing fluids under pressure were used. However, such techniques are not very effective and threaten with complications in the form of excessive stretching of the fallopian tubes.

Today, most often, the spike of the tubes is treated by surgery. The operations are performed without a cut, that is, using laparoscopy. During the operation the spikes are dissected, and the patency of the pipe can be restored. However, such an operation is not always successful. So, in the presence of adhesions around pipes, it is possible to cope with the problem in about 60% of cases. But in the presence of adhesions inside the pipe, success can be achieved only in one case out of ten.

With complete obstruction of the tubes, even complete mechanical restoration of the lumen is ineffective, because it is still impossible to achieve normal functioning. With significant changes in the pipes caused by inflammation, their removal is shown, since it is impossible to restore their patency. Moreover, the presence of an inflamed area of the tubes can be an obstacle to the onset of pregnancy as a result of IVF.

It must be said that if the first operation to restore the patency of the fallopian tubes did not yield a positive result, then it would be pointless to conduct a repeat operation. In this case, the only way to conceive is an IVF operation.

Prevention of the adhesion process in the pipes is the timely treatment of inflammatory and infectious diseases, as well as the absence of abortion and prevention of infection with STDs.