Blockages and Scarring of the Fallopian Tubes
According to
Dr Miriam Stoppard, up to a third or all women attending for fertility
treatment are found to have a
fallopian
tube problem.
Blocked or scarred tubes can be detected during a
laparoscopy or
hysterosalpingogram.
Causes of tubal problems include a previous
history of chlamydia
or Pelvic Inflammatory Disease (PID),
endometriosis,
previous surgery or an ectopic pregnancy.
Surgical procedures
Fimbrioplasty
- this procedure is used if the "fimbria" at the ends of the
fallopian tube are immobile, blocking the ovum's passage (their normal function
is to waft the egg towards the uterus). Microsurgery releases the constriction,
opening the tube(s) up again.
Tuboplasty -
a balloon is inserted into the fallopian tube using a catheter. At the point of
narrowing or blockage, the balloon is inflated, re-opening the fallopian tube.
The balloon can then be deflated and removed.
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