What causes fallopian tube pain?

The fallopian tubes are on both sides of the uterus. The function of the fallopian tubes is to transfer eggs, sperm and the combination of eggs. The value of the fallopian tubes is very high. Normally, women cannot live without fallopian tubes, but when many women experience pain on one side of their abdomen, they will consider that it is the fallopian tube pain that is causing the problem. Normally, for this disease, you should first go to the hospital for examination, make a reasonable diagnosis, find out the cause of the disease, and consider whether it is caused by hydrosalpinx and inflammation.

1. Fallopian tube obstruction

The patency of the fallopian tube is one of the main essential conditions for conception. The lumen of the fallopian tube is relatively narrow, and the diameter of the lumen of the narrowest part is only 1 to 2 mm. When salpingitis or pelvic inflammatory disease occurs, the narrowest part and fimbria of the fallopian tube are prone to adhesion or complete atresia. In this way, sperm and egg cannot meet in the lumen, thus causing infertility. There are generally three types of fallopian tube obstruction: one is that the fallopian tube is completely blocked and severely damaged; the second is that the fallopian tube is blocked, but the damage is relatively minor; the third is that the fallopian tube is unobstructed.

2. Tubal pregnancy

The egg is fertilized in the ampulla of the fallopian tube. For some reason, the fertilized egg is blocked in the fallopian tube, and implants and develops in a certain part of the fallopian tube, resulting in tubal pregnancy. The most common pregnancy is in the ampulla, accounting for 50-70%; followed by the isthmus, accounting for 30-40%; the least common are the fimbria and interstitial parts, accounting for 1-2%.

3. Fallopian tube inflammation

Salpingitis is more common in infertile women. Its cause is due to infection by pathogens, mainly Staphylococcus, Streptococcus, Escherichia coli, Gonorrhea, Proteus, Pneumococcus, Chlamydia, etc. The most vulnerable time to infection is after childbirth, miscarriage or menstruation. Damage to the birth canal and placental detachment surface caused during delivery or abortion, or wounds caused by endometrial exfoliation during menstruation, are all pathways for pathogens to infect the internal reproductive organs. Sometimes infection is related to lax aseptic surgical procedures, such as placement of an intrauterine device, curettage, tubal insufflation, and iodized oil angiography. Frequent sexual intercourse and sexual intercourse during menstruation can also cause infection and lead to salpingitis. In a small number of patients, the infection is directly spread from inflammation of adjacent organs, such as appendicitis or infection foci in other parts of the body that spread through the bloodstream to the fallopian tubes and cause infection.

4. Hydrosalpinx

Hydrosalpinx refers to the inflammation of the fallopian tube caused by pathogen infection, which leads to swelling of the endometrium, interstitial edema, exudation, shedding of the tubal mucosal epithelium, and accumulation of secretions of mucosal cells in the tubal lumen. It also refers to the adhesion of the isthmus and fimbria due to fallopian tube inflammation, which leads to blockage and formation of pus in the tubal lumen. When the pus cells in the tubal lumen are absorbed, they eventually become watery liquid. It is a common type of chronic fallopian tube inflammation.

Patients often have a history of abdominal pain during the acute stage of fallopian tube inflammation. Generally, after the fallopian tube pus turns into serous, that is, hydrosalpinx, or the water is absorbed by the body, the inflammation is often cured long ago. Therefore, patients with hydrosalpinx usually do not have abdominal pain symptoms. Because when hydrosalpinx occurs, the lumens of the dilated and non-dilated parts of the fallopian tube are still connected, patients often have intermittent vaginal discharge, and infertility is often the only manifestation of hydrosalpinx.

prevention

1. Pay attention to hygiene: Pay attention to your own and your partner’s personal hygiene during sexual intercourse. Before and after sexual intercourse, both men and women should clean their external genitalia to prevent bacterial growth. If a woman has bleeding, she must abstain from sexual intercourse to prevent bacterial growth and reproduction. In addition, female friends should clean their vulva regularly to keep it dry and clean.

2. Actively treat gynecological diseases: Inflammation or infection of nearby organs can also cause fallopian tube blockage, such as endometritis, which can cause inflammation of the fallopian tube. Therefore, once genital inflammation occurs, it must be treated in time to avoid inflammation infecting the fallopian tube and causing fallopian tube blockage.

3. Strengthen your physical fitness: Female friends should pay attention to their physical fitness, especially after artificial abortion, during menstruation or after delivery, they should pay attention to strengthening nutrition, eat more nutritious foods, actively participate in physical exercise, improve their own immunity and resistance, and reduce the chance of disease invasion.

4. Avoid improper intrauterine surgery: Women should take good disinfection measures when undergoing examinations or treatments for miscarriage, gynecological diseases, etc. to avoid bacterial growth. Intrauterine surgeries such as curettage, IUD insertion, and fallopian tube insufflation are not only easy to damage the reproductive organs, but also can cause bacterial infection. Therefore, female friends should try to avoid or reduce the number of intrauterine surgeries. If abortion or abortion is necessary, patients must choose a regular and professional hospital to ensure the safety of the operation.