GTranslate
Who's Online
We have 12 guests onlineJ!Analytics
Problems Related To The Tubes
|
Tubal factors constitute 20-25% of all infertility reasons. Normally sperm and oocyte meets within the tube and fertilization takes place there. After the embryo is formed, it proceeds within the tube and settle in the uterine cavity. With the presence of a tubal factor, this chain of events can not occur. Partial or total obstruction of the tubes, defect formation without obstruction, adhesions, endometriosis, ectopic pregnancy, infections (especially tuberculosis) and operations lead to infertility. The most frequent reason is inflammatory diseases of the pelvis (uterus and ovary infections).
 PIH usually occurs due to the infection caused by gonorrhae from the cervix to the uterus or due to the infections caused by the bacteria Chlamidia.. Severe inflammation occurs in these tissues. Bacteria, white blood cells and other liquids fill the tubes. After the body succeeds in the war against the bacteria, during the recovery stage, scars from ob the layer covering the inner parts of the tubes and damage forms. The tips of the tubes at the side of the ovaries can be blocked partially or totally, adhesions can form in the outer parts of the tubes. If PIH is treated at an early stage, tubes receive less damage and fertility is preserved.
After PIH, tubal ectopic pregnancy risk increases. The risk of ectopic pregnancy is 6-10 times more in women who had PIF before. Hysterosalpingography (HSG) is a technique that is used frequently for the evaluation of the uterus and the tubes. This process is based on filling the uterine cavity with a radio-opaque substance administered from the cervix, and then pouring into the abdomen. However, observing the tubes to be open in HSG does not mean that the tubes are normal. Normal functioning of the tube provides the sucking of the oocyte into the tube, transfer and fertilization of the oocyte and the sperm, and let’s the embryo fall into the uterus thorugh the tubes. Embryo spends 5 days within the tube on the average and develops to reach to the blastocyte stage within this period. If the oocyte is fertilized with the sperm but can not reach to the uterus due to the problems in transfer, then gestation is located in the tubes and ectopic pregnancy may occur.
Other methods used in the determination of tubal damage
     
Treatment of infertility due to tubal factor In the treatment of infertility due to tubal factor; tubal surgery (Laparascopic laser surgery) or test tube baby (IVF) applications are being used. Especially in the proximal tubal obstructions and for persons who had ligated their tubes before, pregnancy results up to 70% can be achieved within 1 year. In the distal tube obstructions, if tubes did not have serious damage, then successful results can be achieved with salpingostomy and fimbrioplasty. However, for patients who have serious damage, thickening and widening in their tubes, test tube baby should be considered as the first choice.
As a result of the pelvic inflammatory disease, when these tubes are blocked and widened (hydrosalpinx) removing these tubes laparoscopically will increase the success of the test tube baby treatment that will be applied. |
|
|
|