What to do to check for blocked fallopian tubes

The fallopian tubes are the main channels for transporting eggs. Once blocked, it means that women's normal pregnancy will be affected. Therefore, if you want to check whether the fallopian tubes are blocked, you must go to a reliable infertility hospital for relevant examinations. What tests should be done for fallopian tube obstruction?

What tests should be done for fallopian tube obstruction

1. Color Doppler Ultrasound Examination

Color Doppler ultrasound examination of both fallopian tubes includes general color Doppler ultrasound examination and ultrasound fluid infusion. During general examination, some hydrosalpinx can be detected on ultrasound, which is manifested as enlarged and thickened fluid shadows on both sides of the uterus. However, ultrasound cannot diagnose whether it is hydrosalpinx or ovarian cyst. It can only confirm the possibility of water accumulation.

2. Hydrotubation

Also known as tubal hydrotubation, tubal hydrotubation is the process of inserting a tube into the patient's uterine cavity and then injecting 20 ml of liquid medicine through the tube. The liquid medicine is usually saline with antibiotics.

3. X-ray hysterography

X-ray hysterography can show the size, shape and position of the uterus and the shape of the bilateral fallopian tubes on the monitor and X-ray images.

4. Laparoscopy

If there is bilateral proximal obstruction of the fallopian tubes (the interstitial part and muscle wall of the fallopian tubes on both sides), the methylene blue fluid will not be seen overflowing into the abdomen through the fimbriae of the fallopian tubes on both sides. If there is bilateral distal obstruction of the fallopian tubes (the ampullae and fimbriae of the fallopian tubes), it can be seen that the fimbriae and ampullae of the fallopian tubes on both sides are enlarged, thickened and stained blue, but there is no methylene blue fluid flowing from the fimbriae of the fallopian tubes on both sides and injected into the abdomen.

Fallopian tube obstruction

Fallopian tube obstruction can cause female infertility and cause great physical and mental harm to the patient. Grasping the early clinical symptoms of the disease can provide timely treatment. So, what are the symptoms of patients with fallopian tube obstruction?

1. Abdominal discomfort

Lower abdominal pain is one of the early warning symptoms for patients with fallopian tube obstruction, and it is often a latent discomfort, dominated by soreness and heaviness in the lower back, back and lumbar sacral area, which is significantly aggravated after fatigue. Because fallopian tube obstruction is often accompanied by pelvic disease, patients may suffer from two types of symptoms, namely bladder and duodenal filling pain or defecation pain; bladder and duodenal irritation symptoms, such as urinary urgency, frequent urination, anal prolapse, etc.

2. Irregular menstruation

Menstrual irregularities caused by fallopian tube obstruction are a common symptom, with decreased menstrual cycles and excessive menstrual flow being the most common, and are related to pelvic congestion and ovarian obstruction.

3. Infertility symptoms

Once the bilateral fallopian tubes themselves become diseased, they are prone to partial blockage, leading to infertility, which is especially common in secondary infertility. When examining female infertility, the possibility of fallopian tube obstruction should be considered first.

4. Menstrual pain

The pelvic congestion caused by fallopian tube obstruction can easily lead to dysmenorrhea in patients, and the abdominal pain usually occurs one week before menstruation. The closer to the menstrual period, the more intense the pain is. The pain will not become stable until the menarche, and will disappear on its own after menstruation.