Footsteps to fertility foundation

What is Tubal Disease ?

Tubal disease is a common cause of female infertility.The fallopian tubes are very delicate structures that are responsible for picking up the egg and providing the site for fertilization of the egg as well as early embryo development and transport to the uterine cavity.

Infertility is one of the most vital problems in recent years. If tubes are blocked, sperm and the egg cannot meet and infertility follows.

 

At Footsteps To Fertility Centre we endeavor to provide you with the most expert advice and to guide you through this journey that is caring, safe, professional and transparent. Every effort is made to ensure that all our patients feel comfortable within a relaxed and friendly atmosphere.

Symptoms of Tubal Disease

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Some women with blocked/damaged tubes experience symptoms while others do not.

Possible symptoms include abdominal pain, fever, unusual vaginal discharge and pain when menstruating/urinating/having sex.

Another common symptom of tubal disease is infertility. If you don’t get pregnant after one year of trying (or after six months), your doctor will order a specialized X-ray to check your fallopian tubes, along with other basic fertility testing.

Causes of Tubal Disease

  • Scar tissue resulting from endometriosis or abdominal or gynecological surgery (bowel surgery, cesarean section, ruptured appendix.) can block the egg from entering or traveling down your fallopian tube to meet the sperm.

  • Sexually Transmitted Diseases, which go undetected or untreated, such as chlamydia can damage the cilia (tiny hairs lining the fallopian tubes) that help to transport the egg.or gonorrhea, can damage the fallopian tubes irreparably.Without normal cilia, the egg may not meet the sperm, or if an egg becomes fertilized, it may not be able to travel to the uterus. This can result in an ectopic pregnancy, which can further damage your tube.

  • Tubal ligation (having your tubes tied to prevent pregnancy) and/or subsequent reversal of tubal ligation can also leave your fallopian tubes damaged.

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Types Of Tubal Disease

Hydrosalpinx

A hydrosalpinx is a condition that occurs when the fallopian tube is filled with serous or clear fluid near the ovary. The fluid accumulates there because of an acute or chronic inflammatory process in the tube. This is typically due to a prior pelvic infection and inflammation.

If both the fallopian tubes are blocked in this manner, then it is almost impossible to get pregnant naturally.

If the tubes are damaged from the inside (intrinsic) due to a prior pelvic infection, repair of such tubes does not yield high success rates.

Treatment of hydrosalpinx depends on the goals of the patient. Laparoscopic surgery can be used to create a new opening at the end of the tube, in a procedure called neosalpingoscopy.

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Salpingitis Isthmica Nodosa (SIN)

Salpingitis isthmica nodosa  is one type of proximal tubal disease which is difficult to correct and deserves special mention.

The  cause of Salpingitis Isthmica Nodosa is not known; however it is associated with endometriosis are thought to be related to prior inflammation in the tube.

Women suffering from  SIN are at increased risk for infertility and ectopic pregnancy (pregnancy in the fallopian tube). IVF is commonly  recommended for individuals with SIN.

Proximal tubal occlusion

Proximal Tubal occlusion is blockage of the fallopian tubes where they connect to the uterus.Some of the causes are fibroids, mucus plugs, endometriosis, inflammation or scarring.

Some women diagnosed with proximal tubal occlusion on HSG actually have normal tubes after further investigation via laparoscopy. Diagnosis can be done by injecting a blue dye into the uterus under higher pressure while the patient is under anesthesia.

If there is true proximal tubal occlusion, IVF is the only solution.

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Cilia Syndrome

This condition occurs when the fallopian tubes are open but are not functioning. Infections, such as chlamydia, can damage the cilia (tiny hairs lining the fallopian tubes) that help to transport the egg.

Without normal cilia, the egg may not meet the sperm, or if an egg becomes fertilized, it may not be able to travel to the uterus. This can result in an ectopic pregnancy, which can further damage your tube. Sometimes tubes may appear open but have no function due to damaged cilia. This condition would require IVF treatment.

How Does Tubal Disease Cause Infertility

If the fallopian tubes have adhesions or scar tissue around them, it can block an egg and subsequent embryo from reaching the uterus, causing infertility.

When the tubes are partially blocked by adhesions, sperm may meet the egg in the fallopian tube instead of in the uterus, and an ectopic pregnancy may occur.

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Diagnosis and Treatment of Tubal Disease

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Our team at Footsteps To Fertility want to help as many patients as we can who suffer from tubal disease – especially those that wish to become pregnant. Thanks to our highly skilled staff and state-of-the-art facilities, we are able to provide the best diagnostic testing and treatment options available

Your medical history and a pelvic exam are necessary in diagnosing tubal disease.You may need one or more of the following tests:

  • Saline Sonohysterogram – a procedure that uses ultrasound to detect masses in your uterus that may be blocking your fallopian tubes.

  • Hysterosalpingogram – Dye is injected vaginally through the cervix and x-rays are taken to evaluate the inside of the uterus (endometrial cavity) as well as the fallopian tubes.

  • Laparoscopy – Of the diagnostic tests, laparoscopy allows for the most comprehensive evaluation.an outpatient surgical procedure in which your doctor uses a laparoscope inserted into the abdominal cavity through a small incision in or near the belly button to look for or visualize and sometimes remove scar tissue or endometrial tissue blocking the fallopian tubes.

The most common treatment for tubal disease is IVF. At Footsteps To Fertility Centre in Kenya,  IVF is the fertility treatment we offer patients with tubal disease, as the eggs need to be removed from the ovaries in order to be fertilized.

The treatment that’s right for you depends on various factors such as your age and ovarian reserve our fertility specialist will  advise you on the best treatment option and devise a tailor-made treatment plan on the basis of a scan and your medical history.

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