Post Date September, 22 2023
The appearance of hydrosalpinx has caused great distress to many female patients. We also need to have a clear understanding of this disease, especially to provide reasonable treatment and adjustment based on our own condition.
The causes of hydrosalpinx
1. Abortion: Abortion includes artificial abortion, natural abortion, drug flow, induced abortion, etc. After abortion, the resistance decreases, and pathogens spread to the fallopian tubes and ovaries in the reproductive tract, causing inflammation of the entire pelvis and fallopian tubes. Adhesion, congestion, swelling and blockage of the fallopian tube wall. That is to say, due to incomplete or untimely treatment of acute salpingitis, it can lead to adhesion of the fallopian tube mucosa, incomplete miscarriage, leaving behind the placenta and causing inflammation. Some individuals with intrauterine devices may develop chronic salpingitis, and long-term inflammatory stimulation can cause the fallopian tubes to thicken, harden, adhere to the lumen, narrow, and adhere at different positions
2. Unclean sexual intercourse: Excessive sexual activity or menstrual intercourse, infection causing salpingitis and fluid accumulation in the fallopian tubes.
3. Pelvic infection: Improper abortion and delivery, attachment (pelvic) infection after delivery or miscarriage or menstruation, adhesion blockage, accumulation of mucosal cell secretion in the lumen, inflammation of the fallopian tubes, adhesion of the isthmus and fimbria, leakage and accumulation of exudate in the fallopian tube cavity
4. Chronic salpingitis: When chronic salpingitis occurs, the fimbriae of uterine tube end closes due to inflammatory adhesion, and the leakage and exudate in the fallopian tube cavity gradually accumulate water. If there is chronic hydrosalpinx, it will also cause the enlargement of the fallopian tube. However, if the end of the fimbriae of uterine tube is partially or completely closed, it will adhere to the surrounding tissues, which will lead to scar adhesion and distortion of the fallopian tube, as well as narrow or closed lumen, which will lead to hydrosalpinx and pus, but if it is pelvic congestion or pelvic effusion or pus. The lesions will also affect fertilization and the operation of zygote, leading to infertility.
5. Pyogenic change of fallopian tube: after the decomposition of pus cells and necrotic tissues in the original tube cavity, they are removed by phagocyte, and the pus gradually becomes bright water like liquid. Some hydrosalpinx is not caused by inflammation of the fallopian tubes, but rather secondary to tubal sterilization.
Treatment of Hydrosalpinx
1. Western medicine treatment: The commonly used methods for hydrosalpinx, fluid accumulation, and pus accumulation are surgical treatment and non-surgical treatment.
