I. Concept Tubal infertility Infertility caused by structural or functional abnormalities of the fallopian tubes due to some etiology is called tubal infertility.
1.Functional lesion
2.Organic lesion
2. Etiology
1.Infectious: bacteria, virus, mycoplasma, chlamydia, etc.
2. Non-infectious: endometriosis, uterine fibroids, developmental abnormalities
3. Types and pathology of tubal infertility 1. Non-specific tubal inflammation: fluid, pus, inflammatory mass, etc.
2.Specific tubal inflammation: sexually transmitted diseases, tuberculosis, actinomycetes
3, endometriosis
4.Uterine fibroids, congenital abnormal development of fallopian tubes
IV. Diagnosis of tubal infertility
1. Medical history: menstrual history, previous marital status, past history (inflammation of reproductive tract, tuberculosis, appendicitis surgery, thyroid disease, etc.), family history.
2. Clinical manifestations: symptoms and signs of chronic and tuberculous tubal infection
3. tubal patency examination: ultrasound, lavage, angiography, hysteroscopy, laparoscopy, etc.
V. Treatment strategies for tubal lesions
(a) Determine the basis for choosing the treatment method
1. the morphology, shape, location and degree of tubal lesions
2.Whether the patient has other factors that cause infertility
3.Past medical history and history of pelvic tubal related surgery
4. age and ovarian reserve function of the female partner
5. Male partner’s condition
(2) Methods of tertiary treatment
1.Combined Chinese and Western medicine treatment: Chinese medicine, physiotherapy, intervention, hysteroscopic lavage
2.Surgical treatment: laparoscopic, open surgical treatment
3.In vitro fertilization embryo transfer