In detail

Inflammation of the fallopian tube

Inflammation of the fallopian tube

Question:

- I have recently discovered that I have a inflamed right horn, without knowing why this is due. How does this influence the fact that I want to become pregnant? Should I treat the disease first and then become pregnant? Do I have to undergo drastic treatment? What is this treatment?

Answer:


As it is an inflammatory disorder in the uro-genital sphere, a gynecological consultation aims to discover the cause of this inflammation located in the fallopian tube, knowing that inflammation is the response of the body to an aggression, of any nature (infectious, physics etc.). Due to the fact that there are several germs involved in these infections, and that there is a different resistance of the same germ strains against certain drugs, it is necessary for any inflammatory tests to detect not only the germs involved but also the antibiotic to which it is resistant (an antibiogram is useful in this regard).
Pelvic floor inflammatory disorders may be signs of morphofunctional changes in the urogenital tract, but they may themselves cause such changes and influence your obstetric future (the most common bacteria involved in inflammatory disorders of the uterine tube and have and rasunet on the morphology and reports of internal genital organs are mycoplasma, ureaplasma and chlamydia).

The inflammatory reaction at this level may result in modification with narrowing of the tube pathway (uterine tube), until the complete interruption of the tube pathway (clogging of the tube); thus making it impossible, at least for that part, the "meeting" between the two sex cells (the oocyte of Gr. II and the spermatozoa meet at the union of the middle third with the external trimming of the passage of the uterine tube) in order to achieve fertilization.
An analysis of the current anatomy of the internal genital organs in your case can be performed by means of an exploratory laparoscopy that can become interventional when the adhesions between the pelvic organs between them or with the abdominal wall are discovered. Also, a hysterosalpingography can tell you the degree of permeability of your tubes, and can also remove minor obstructions in the passage of the fallopian tube. The necessity of establishing a drug treatment is a decision that belongs to the doctor who deals with your case and that uses both the data obtained from the clinical consultation and the information resulting from the additional investigations that he considers it appropriate to request.
To resolve infertility issues you will need to consult a clinic that specializes in such conditions. Good health!
Dr. Ciprian Pop-Began
- Obstetrics and Gynecology -
Clinical Hospital of Obstetrics-Gynecology Prof. Dr. Panait Sarbu