The fallopian tube is an important organ for pregnancy. It is not only a bridge for transporting sperm and egg to meet, but also a place where sperm and egg meet (fertilization).
If only one side is blocked, there is still a chance of natural conception, if both sides are blocked, the chance of natural conception is almost zero.
Tips: The mother of Louis Brown, the world's first test-tube baby, was given IVF because of a fallopian tube problem.
Therefore, in the past, for women with bilateral fallopian tube obstruction, doctors would recommend IVF directly. However, in recent years, studies have confirmed that the type of fallopian tube obstruction will also affect the success rate of IVF and the rate of abortion .
There is a special condition, , that is, when the fallopian tube is blocked and the fallopian tube is edema (water accumulation), the doctor will recommend that the problematic fallopian tube be removed or ligated before IVF.
Fallopian tube edema, as the name implies, is that after the fallopian tube is blocked, the secretions produced by it cannot be discharged and accumulated in the lumen of the fallopian tube. Over time, it causes the entire fallopian tube to swell (think of it as a sausage).
And these liquids often contain a lot of inflammatory substances, bacteria, necrotic cells and other components that are unfavorable to embryo growth. Because the end of the fallopian tube has been blocked, the flow of these bad things can only go into the uterine cavity, causing the impact of embryo implantation and development.
In addition, the physical flow of liquid may theoretically rush the implanted embryo to an unfavorable position for implantation. Related studies have also proved the above points:
1. It is also the case of fallopian tube obstruction. If there is edema, the pregnancy rate of IVF will be significantly reduced;
2. Occurs after IVF pregnancy with tubal edema The probability of miscarriage is higher;
3. If there is pre-operation to treat the water part before IVF, it will obviously help the pregnancy rate and embryo implantation rate.
Studies have also found that for women with unilateral fallopian tube edema and the other side is unobstructed, the chances of natural pregnancy and miscarriage after surgical treatment of the edema will also be improved.
There are currently two surgical treatments for tubal edema. The first is to remove the entire fallopian tube on the edema side with minimally invasive endoscopy; the other is to block/ligate the junction between the fallopian tube and the uterus on the edema side with endoscopic surgery.
The ultimate goal of these two operations is to block harmful substances in the fallopian tube from entering the uterus. The former is more destructive, and recent studies have found that total fallopian tube resection can sometimes reduce the blood flow of the ipsilateral ovary, which indirectly affects ovarian function. Therefore, the current mainstream is endoscopic blocking/ligation surgery.
Based on the above arguments, tubal edema (water accumulation) is harmful to nature or in vitro pregnancy rate, but it is not beneficial, so it generally needs to be removed or ligated. In addition, neither removal of fallopian tubes nor ligation will cause premature aging of the body or premature menopause. menopause Oh.
Statement: The above content was originally created by "Good Pregnancy, Good Life", unauthorized reprinting is prohibited. Views on infertility and IVF are only for health reference. The actual situation of the disease shall be discussed with the doctor in person, and it cannot be a substitute for the doctor. Face to face diagnosis, please know!
.
