Will the fallopian tubes be blocked after giving birth?

Fallopian tube obstruction is a very serious disease for women. If a woman's fallopian tubes are blocked, the uterus will not be able to function normally, which will directly affect her future pregnancy and may even cause infertility. There are many factors that can cause fallopian tube blockage in women, including infection and inflammation. Some women develop blocked fallopian tubes after giving birth to their first child. So, will the fallopian tubes be blocked after giving birth?

Fallopian tube blockage is the main cause of female infertility, accounting for 25% to 35% of female infertility, and the main cause of fallopian tube damage is pelvic inflammatory disease (PID). The incidence of secondary fallopian tube obstruction is directly related to the incidence of PID. Reproductive capacity after fallopian tube reconstruction depends on the site and extent of fallopian tube damage. Women with extensive fallopian tube damage have a lower chance of becoming pregnant, and IVF can improve their pregnancy rates.

prevention

1. Pay attention to the cleanliness and hygiene of the reproductive system. The most important thing is to prevent infection from various pathogens (especially sexually transmitted diseases). During artificial abortion, delivery, removal and placement of intrauterine contraceptive devices, and other uterine cavity surgeries, strict disinfection should be carried out to avoid inappropriate uterine cavity operations, unclean sexual life, sexual intercourse during menstruation, repeated fallopian tube insufflation, etc.

2. Actively cure pulmonary tuberculosis and lymph node tuberculosis to prevent infection of pelvic tuberculosis.

3. Once a woman suffers from adnexal disease, she should abide by the treatment principles, take a positive attitude, seek thorough treatment, control the disease as soon as possible, and prevent it from becoming chronic.

4. Strengthen exercise and enhance disease resistance.

Causes

1. Infection Most fallopian tube diseases are secondary to infection, especially pelvic inflammatory disease (PID). Other possible causes of infection include a perforated appendix, infection after abortion, or postoperative complications, such as endometriosis and inflammatory states caused by surgery, which can lead to occlusion of the fallopian tubes due to adhesions. Rarely, embryologically absent fallopian tubes are a factor in infertility, and the final cause may also be iatrogenic, such as tubal ligation. Although pelvic inflammatory disease can be caused by a variety of microorganisms, chlamydia is the main cause of infertility. Damage to the fallopian tubes may already exist before the application of antimicrobial therapy. Sometimes the infection may be subclinical and exist in the fallopian tubes for months before diagnosis and treatment. This is in stark contrast to the acute onset of PID caused by Neisseria gonorrhoeae. It is now highly suspected that chlamydia infection damages the mucosa of the fallopian tube through immunopathological mechanisms, while Neisseria gonorrhoeae damages the fallopian tube through related cytotoxicity. Other latent infectious pathogens include Mycoplasma hominis and endogenous aerobic or anaerobic bacteria. Pelvic tuberculosis accounts for 40% of tubal infertility in developing countries. Infectious abortion is another major risk factor for tubal infertility. Preoperative examinations include bacterial vaginosis and cervicitis. Culture and serological tests should be performed when necessary, and the test results should be understood before surgery. We routinely use preventive antibiotics after abortion.

2. Inflammation/Adhesion Tissue trauma caused by surgical operations can also lead to a pre-inflammatory state or even adhesions. The incidence of postoperative adhesions is approximately 75%, and laparoscopy cannot prevent the occurrence of adhesion sequelae. The application of adhesion barriers (such as anti-adhesion membranes) can reduce the occurrence of adhesions by an average of 50%. The removal of adhesions will increase the rate of infertility. If serious diseases exist, in vitro fertilization-embryo transfer (IVF-ET) may be the only option.

Clinical manifestations

Generally speaking, there are no typical symptoms. The most common manifestation is infertility. The fallopian tube plays an important role in transporting sperm, absorbing eggs and transporting fertilized eggs to the uterine cavity. Blockage of the fallopian tube hinders the passage of sperm and fertilized eggs, leading to infertility or ectopic pregnancy. If the fallopian tube obstruction is caused by pelvic inflammation, it may be accompanied by lower abdominal pain, back pain, increased secretions, pain during sexual intercourse, etc.