The fallopian tubes are very important for women, as they will affect their ability to conceive normally. If there is a problem with the fallopian tubes, timely diagnosis and treatment must be carried out to prevent further development of the problem. So, what should be done if there is adhesion at the distal end of the fallopian tubes?
If only one side of the distal fallopian tube is adhered, women can observe for a period of time. Although the chance of conception is relatively low, it does not mean that pregnancy cannot be achieved. If there is adhesion between the distal ends of the fallopian tubes on both sides, laparoscopic surgery or a combination of hysteroscopy, falloposcopy, and Cook wire treatment is required, which is also known as three mirror one line surgery. As long as the fallopian tubes are unobstructed, postoperative follow-up is sufficient.
The reason why women experience distal tubal adhesions is mostly caused by gynecological inflammation. Inflammation can cause one or all ends of the fallopian tube that receive eggs to be blocked, resulting in adhesion of the inner lining of the fallopian tube mucosa and narrowing or blocking of the tube lumen. If it is a severe inflammation, it can also cause the physiological properties of the fallopian tubes, such as softness and peristalsis, to disappear, becoming stiff and twisted, completely blocking the lumen and preventing proper reproduction.
Women with a history of appendiceal perforation are also prone to developing distal tubal adhesions, as this surgery increases the risk of tubal damage. The distance between the appendix and fallopian tubes is relatively close, and the infection from the appendix can easily spread to the fallopian tubes, causing inflammation and ultimately leading to adhesions and blockages.
