Fallopian tube failure and treatment options
Role of a fallopian tube
In a normal situation where a couple conceives normally, sperm from the male along with the eggs from the female are supposed to meet in the woman’s fallopian tubes which joins the ovaries to the uterus (womb).
A blockage in the fallopian tube usually prevents the successful movement of the egg towards the sperm. It also hinders movement of the fertilised egg towards the uterus. Surgery can be used to correct this common cause of infertility. Depending on the extent of the fallopian tube blockage and the location, surgery can be done.
In Vitro fertilisation (IVF) was initially developed to treat women having women having blocked fallopian tubes so that they can become pregnant. Since its inception, IVF and certain related techniques have resulted in more than 2, 00,000 babies. Infertility can be due to many reasons and IVF should not be considered initially for treatment. It is practised only when other methods like fertility drugs, surgery and artificial insemination have failed.
A layer of tissue which lines the uterus is called the endometrium. Usually the endometrial tissue normally grows within the uterus or the womb. At times it may also grow outside the uterus – commonly in the reproductive organs like ovaries, fallopian tubes or on the intestines, rectum or bladder. This condition is called endometriosis.
How does Endometriosis Occur?
The causes of endometriosis are not known. There are some expert views which point towards the endometrial tissue during menstruation, backing through the fallopian tubes and then settling and growing in the abdomen. Usually the immune system automatically will attack and kill the abnormal tissue however in case it is not able to do so, this would lead the endometriosis to develop. Evidence also points towards the remnants of a woman’s own embryonic tissue which was formed when her mother was carrying her inside the womb. It may tend to form into endometriosis at a later stage in life. There are also chances of transformation into reproductive tissue.
Endometriosis impacts the fallopian tubes which become blocked and even the ovaries can be damaged. However evidence suggests that even if one’s endometriosis is severe, one still has a chance to conceive naturally. It depends on how the disease has impacted the reproductive organs. If one has endometriosis and has not been able to conceive even after trying for six months, it is time to consult the doctor.
Diagnosis & Treatment
While there is no cure, the two main forms of treatment are drug therapy and surgery. The treatment depends on the following:
- Severity of the symptoms
- Location and size of endometrial growths
- Plans of having children
- Age as the symptoms intensify as one ages
Treatment options when one is trying to get pregnant: The fertility specialist plays an important role here who will usually offer to carry out a laparoscopy and dye (“lap and dye”) which helps in assessing the extent of damage to the fallopian tubes and ovaries.
An ultrasound scan may also be done of the pelvic organs. This is carried out using an ultrasound probe inserted into your vagina. If the endometriosis is relatively mild, doctors may suggest no treatment for six to twelve months to see if the patient can get pregnant without any intervention. Before the investigatory laparoscopy is done, the doctor will discuss some treatment options to look at the feasibility of removing the unwanted growths and tissues during this initial laparoscopy. This is a relatively simple procedure using a laser and surgical tools to cut away the endometrial tissue. It is advisable to perform this surgery during the course of the investigatory laparoscopy as it will avoid one to go through the procedure again at a later stage. Tubal flushing is a good alternative to surgery for correcting the blocked fallopian tubes having a good rate of success.
Some couples take the assisted conception route. Here IUI is offered and if it is not successful or appropriate then IVF is recommended. Drug treatment is avoided as the drugs usually suppress ovulation or they may be harmful to a growing embryo.
If one is not trying to get pregnant then regular check ups to monitor the treatment can help and surgery may not be required. It is likely that endometriosis goes away with the onset of menopause which stops ovulation and menstruation.
If the pain is mild before or during the period and infertility is not an issue, then over the counter pain relief is enough to tide over the problem. A non surgical option which helps in this case is controlling hormone stimulation with contraceptive pills, progesterone pills or other drugs. These treatments block ovulation, and hence the bleeding in the uterine lining and the endometrium stops. This helps in preventing swelling, new cysts and scar tissue.
The qualified and dedicated team at the Raipur centre believes that understanding the treatment and all its components is the key to coping with the stress that accompanies the treatment.
Success Rate in india
Laparoscopic surgeries can increase the chance of pregnancy by 100% along with a live birth. Post the surgery, rates of pregnancy for women having mild endometriosis range from 81 to 84% depending on the techniques used. Those with moderate or severe endometriosis have a 36 to 66% chance of conceiving after surgery. Tubal flushing is particularly successful for women with endometriosis, increasing their chances of pregnancy almost seven fold and of a live birth fivefold.
Raipur Fertility Centre understands the emotional aspect associated with infertility. Their USP is that they believe in treating patients emotionally as well as physically. They have a holistic approach in their treatment to fertility which can be seen in all the stages of treatment.
Raipur Fertility Research Centre is helping people build families successfully for the last 15 years. With a high pregnancy rate, it has got excellent ratings by their patients. They have an extremely qualified and committed team of doctors, nurses, embryologists and counsellors who work together to strive for excellence in fertility care.
Raipur Fertility research centre, established in the year 1994 in Raipur, Chhattisgarh, is India’s most experienced IVF treatment centre. It is well known and well accepted all over the world for infertility and IVF treatments in India.
The well qualified team at Raipur understands the emotional aspect and has an ethical, meticulous research based approach to fertility treatment. The flexible financial options and a long record of success make it one of the best treatment centres for infertility. Their aim is to provide low cost and best treatment options under one roof.