Tubal inflammation and the risk of infertility

The article was professionally consulted by Specialist Doctor II Bui Minh Phuc - Department of Obstetrics and Gynecology - Vinmec Ha Long International Hospital. Doctor has more than 18 years working in the field of obstetrics and gynecology.

A fallopian tube is a tube-shaped structure that carries an egg from the ovary into the uterus. When the fertilized egg produces a zygote, the fallopian tube is responsible for transporting the zygote into the uterus and developing into an embryo and fetus later.
Although it does not have an endocrine role, the fallopian tube still plays an important role in helping the egg and sperm meet. So any damage to the fallopian tubes can affect a woman's ability to have children.

The phenomenon of inflammation of the fallopian tubes does not appear alone, but often integrated in the general condition of pelvic inflammatory disease. The cause of inflammation is from the cervix, if not diagnosed early, the right treatment will lead to endometritis, inflammation of the fallopian tubes.

The cervix is ​​usually filled with mucus and other secretions that help prevent the spread of bacteria from the cervix or vagina. During ovulation and menstruation, the mucus thins, so the defense ability is reduced, the endothelium tissue sheds combined with blood clots to create conditions for bacteria to grow. Improper menstrual hygiene can lead to endometrial infection. In addition, if menstrual blood flows backward from the uterus into the fallopian tubes, it also carries disease-causing bacteria. That's why tubal inflammation symptoms are more common right after your period than at any other time.
In addition, unsafe sex, infection with Chlamydia, gonorrhea, Mycoplasma, Staphylococcus and Streptococcus... are also causes of cervicitis, endometritis, and tubal inflammation. fallopian tubes, pelvic inflammatory disease.
Obstetric and gynecological procedures such as IUD insertion, abortion, abortion, uterine polyp removal, biopsy curettage, etc., which do not guarantee sterility, are likely to cause endometritis and inflammation. fallopian tube.

Symptoms of tubal inflammation can include:
Dysmenorrhea: pelvic congestion causes hematoma. Menstrual disorders: irregular menstruation, heavy menstrual flow, irregular cycle...

Vaginal discharge a lot, abnormal vaginal discharge (yellow, cloudy, dilute, bad smell...) Back and abdomen pain: sometimes pain spreads to the bladder, rectum, pelvic pain causes symptoms of irritation such as frequent urination, urgency, painful urination... Pain during intercourse Difficult to conceive. However, many patients do not have any symptoms in the early stages, until they feel abnormal, the disease has progressed. severe and requires urgent treatment.

4.1 Is tubal inflammation dangerous? Inflammation of the fallopian tubes is often integrated in the general condition of inflammation of the uterus, inflammation of the ovaries (pelvic inflammation). If not treated thoroughly, it can lead to inflammation of the entire abdomen (abdominal peritonitis), sepsis and even death.
4.2 Can I have a baby with tubal inflammation? Inflammation of the fallopian tubes often causes a blockage that prevents sperm from reaching an egg and fertilizing it, making it difficult to conceive (infertility). On the other hand, there are cases of scarring that shrink the fallopian tubes, narrowing the lumen of the fallopian tubes, which can easily lead to ectopic pregnancy.

If the inflammation of the fallopian tubes is detected early, diagnosed and treated aggressively, the possibility of cure is very high. Patients can still reproduce as normal. The main treatment is with antibiotic map combining measures to improve physical condition, reasonable rest and monitor response to drugs.

To prevent tubal inflammation and complications later, it is necessary to pay attention to prevention from daily activities:
Regularly clean the private area, especially during menstruation. Practice safe sex, use condoms to prevent STIs, and clean before and after sex. Pay attention to periodic gynecological examination and examination, especially when there are symptoms such as back pain and lower abdominal pain, abnormal vaginal discharge, menstrual disorders, white blood ... then you need to go to the doctor immediately. Beware of unsafe abortion. When reluctantly having to terminate the pregnancy, it is necessary to choose reputable specialized medical facilities. If you already have a gynecological disease, it is necessary to treat it early and promptly to avoid spreading to other parts. In order to help customers detect and treat gynecological diseases early, Vinmec International Hospital has a basic gynecological examination and screening package, helping customers detect early infectious diseases and help treat easy, inexpensive. Screening detects gynecological cancer (cervical cancer) early even when there are no symptoms.
Basic gynecological examination and screening package for female customers, has no age limit and may have the following symptoms:
Abnormal vaginal bleeding Having menstrual problems: irregular menstrual cycle, irregular menstrual cycle Irregular vaginal discharge (smell, different color) Vaginal pain and itching Female clients have several risk factors such as poor personal hygiene, Unsafe sex, abortion,... Female customers have other symptoms such as: Abnormal vaginal discharge, itching, pain in the private area, abnormal vaginal bleeding.