Physical effects of removal of fallopian tubes

The fallopian tubes are a pair of long, thin, curved, muscular tubes in the female pelvis that provide a place for the egg to unite with the sperm and carry the fertilized egg through. If removed, women of childbearing age cannot conceive naturally and need to use assisted reproduction techniques such as IVF. For older women without fertility requirements, it is now medically accepted that removal of the fallopian tubes has no significant adverse effects on the body. The fallopian tubes are an important part of the female internal reproductive system, connected to the uterine horn on the inside and free at the outer end in the form of an umbrella, close to the ovaries, with a total length of about 8-14 cm. The abdomen, about 5-8 cm long, has a wide lumen where the egg and sperm meet to form a fertilized egg; the umbilical end, which opens in the abdominal cavity, has a finger-like protrusion at the mouth of the tube and serves as an “egg collector”. The contraction of the muscles of the fallopian tube and the ciliary oscillation of the ciliated cells in the wall of the tube help to transport the fertilized egg to the uterine cavity and to deposit it in the endometrium. Therefore, for young women with fertility requirements, the removal of the fallopian tubes prevents natural conception. It is now medically accepted that removal of the fallopian tubes has no significant adverse effects on the body. Conversely, in older, non-fertile women, removal of the fallopian tubes can reduce the possibility of tubal pathology. Common clinical reasons for tubal resection include: tubal pregnancy, tubal inflammation and fluid accumulation. In recent years, it has been found that a significant proportion of epithelial ovarian cancers may originate from the fallopian tubes, therefore, it is advocated to remove both fallopian tubes together with hysterectomy to prevent the future occurrence of ovarian cancer.