Fallopian tube obstruction afflicts thousands of women each year. As it is the top cause of female infertility, how to reopen the fallopian tubes has become the number one concern of the patients. And this article mainly lists the surgical treatments of fallopian tube obstruction.
This procedure is the removal of part of the fallopian tube. This is commonly performed for hydrosalpinx prior to IVF. According to Fertility and Sterility, untreated hydrosalpinx makes IVF half as likely to be successful.
This procedure is performed when the end of the fallopian tube is blocked by hydrosalpinx. The surgeon creates a new opening in the fallopian tube entrance nearest the ovary. The success of this procedure is often temporary and often scars tissue reforms causing another blockage within 3-6 months of the procedure.
This option may be performed on women with damage to the fimbriae. If the fimbriae and its cilia are stuck together by scar tissue, which is preventing the ova from being picked up, a fimbrioplasty may be recommended. This procedure rebuilds the fimbriae. Very few doctors are experts in this type of procedure and medical insurance often does not cover the cost of this procedure. Fimbrioplasty is now recommended in select cases over salpingostomy, which has been shown to be less successful.
The above procedures have about a 20-30% pregnancy success rate.
Selective tubal cannulation
This procedure is performed for proximal tubal occlusion (where the tube meets the uterus). Guided by hysteroscopy or fluoroscopy, doctors insert a catheter through the cervix, uterus and into the fallopian tube. This is non-surgical procedure and has a 60% pregnancy success rate.
Tubal ligation removal
This is also known as tubal reanastomosis. Reversal of a tubal ligation is a surgical procedure that is done with the assistance of a microscope and is generally performed in a hospital setting or outpatient surgical facility. The surgeon removes the portion of the fallopian tube that was tied or cauterized in the original surgery and reattaches the two ends to make a complete tube. This procedure has a 75% pregnancy success rate.
During surgery doctors may clip away adhesions from the fallopian tubes, ovaries and uterus, so the reproductive organs can move freely once again.
Risks for Fallopian Tube Surgery and Procedures
Due to regrowth of scar tissue and adhesion, any kind of surgery runs the risk of these types of formations. The tubes may become blocked again or adhered to the abdominal wall, other parts of the reproductive organs, or other organs like bladder in the surrounding location. Scar tissue may also form on other parts of the abdominal cavity, including the reproductive organs due to the surgical procedure.
Opening the abdomen runs the risk of pelvic infection as well and there is a great risk for ectopic pregnancy.
While surgery is a common and effective treatment for fallopian tube obstruction, it does great damage to patients. Therefore, more and more patients are tending to find out more conservative treatment. Fortunately, it indeed exists the natural options which can have great results without causing additional scar tissue to form. These natural options include fertility cleansing, systemic enzyme therapy, abdominal or fertility massage, castor oil therapy and herbal therapies such as fuyan pill.