tubal infertility

Risk factors for tubal infertility include primary tubal lesions, such as congenital malformations of the fallopian tubes; secondary tubal injuries or mechanical obstruction, such as chronic pelvic inflammatory disease, endometriosis (EMT), ectopic pregnancies, pelvic adhesions after abdominal surgery, and recurrent induced and medicated abortions. The causes of tubal infertility can be broadly categorised into four types.

Oviduct Congenital Abnormalities

Congenital abnormalities of tubal development, such as tubal hypoplasia, curved and twisted tubes, and tubal diverticula, can cause abnormalities in the function of the tubes in transporting eggs, sperms and fertilised eggs, and make the tubes prone to infertility and tubal pregnancy. This is one of the causes of tubal infertility.

Gonococcal salpingitis

In recent years, it is found that the proportion of chlamydia and mycoplasma infections caused by pelvic inflammatory disease has increased. Like gonorrhoea, it affects the fallopian tubes by upward infection along the mucous membranes, passing through the lining of the cervical canal, uterus and fallopian tube to the pelvic peritoneum, but there is usually no acute stage and the symptoms of the infection at the early stage are mild, so it does not attract attention, and it finally leads to tubal obstruction, which causes the inability of fertilization and leads to infertility.

Suppurative Salpingitis

This type of inflammation is common in incomplete abortions, induced abortions and puerperal infections. The causative organisms are Staphylococcus pyogenes, Streptococcus pyogenes, Escherichia coli and Pseudomonas aeruginosa, causing interstitial salpingitis, isthmic nodular salpingitis, hydrosalpinx and tubal pus, which can lead to infertility.

Gonococcal salpingitis

Mostly secondary infection of tuberculosis or peritoneal tuberculosis, accounting for 10 per cent of the causes of infertility. If secondary infection occurs, the contents of the tube may become purulent, and tuberculous peritubal inflammation may also form, which may be widely adherent to the surrounding organs, and the superficial lesions continue to develop and may penetrate deeper into the wall of the tube and the mucosal tissues, resulting in infertility.

Treatment Options

We will give you a detailed examination plan based on your physical condition, and our specialists will use the results of the examination to work out an optimal solution for you. We will give you the confidence to face the future and we will do our best to help you realise your wish to become a parent.