Diseases of the fallopian tubes
Classification of fallopian tube diseases
- Pregnancy-related fallopian tube diseases
- Inflammation-related fallopian tube diseases
Pregnancy-related fallopian tube diseases
Ectopic pregnancy
In an ectopic pregnancy, the fertilized egg falsely nests in the fallopian tube instead of the uterus. The fallopian tube is the place where pregnancy most often "gets lost". In many cases there is a natural loss of an ectopic pregnancy because the embryo does not find good conditions here. It dies and the dead tissue is then either absorbed (taken in) by the lining of the fallopian tube or shed and expelled during the next period.
If the ectopic pregnancy does not come to a natural end, more and more unilateral abdominal pain will occur in the next few weeks, possibly also fever.A possible consequence of a pregnancy in the fallopian tube is a fallopian tube rupture around the 7th / 8th Week of pregnancy around. The fallopian tube rips apart and bleeds profusely into the abdominal cavity, which is a life-threatening situation.
If there is any suspicion, an immediate emergency operation is performed using a laparoscopy. Depending on the extent of the fallopian tube rupture, the fallopian tube has to be completely removed in many cases. If the ectopic pregnancy is discovered before the fallopian tube ruptures, an operation must also be performed. You can then operate in such a way that the fallopian tube does not have to be removed. However, the subsequent scarring of the fallopian tube increases the risk of a repeated ectopic pregnancy.
Read more on the topic: Ectopic pregnancy
Inflammation-related fallopian tube diseases
Bonding of the fallopian tubes
In many cases, the fallopian tubes stick together as a result of inflammation from chlamydia, gonococci or intestinal bacteria. Gluing of the fallopian tubes is also possible after an ectopic pregnancy and through endometriosis. Adhesion occurs less often after an inflammation in the puerperium or due to an infection after a miscarriage.
The inflammation causes deformation of the fallopian tube due to accumulating secretion (e.g. purulent in the case of an acute inflammation). Depending on the underlying disease, the women affected suffer from pain, bleeding disorders, discharge and possibly fever.
Read more on the subject at: Symptoms of fallopian tube inflammation
Unfortunately, the gluing of the fallopian tubes can lead to unwanted childlessness. A reopening of the fallopian tubes is not possible, the therapy consists in the surgical removal of the fallopian tube.
Read more on the topic: Bonding of the fallopian tubes