Definition
Tube uterinaSalpinx is a narrowing of the fallopian tube caused by inflammation of the fallopian tube (salpingitis) or by the advancing age of the woman as a result of an increase in the viscosity of the fluid in the fallopian tube. Ultimately this leads to a functional disorder of the cilia due to the adhesion. The fertility of a woman can be considerably reduced by this adhesion, since the egg released from the ovary during ovulation cannot be transported via the fallopian tube connection towards the uterus, but gets stuck in the fallopian tube at an adherent constriction. The male sperm migration in the opposite direction can also be difficult or even impossible. Likewise, a glued-up fallopian tube increases the likelihood of an ectopic pregnancy, i.e. the maturation of the fertilized egg within the fallopian tube, since transport to the uterus may be impossible due to the glued-up connection.
Symptoms
The complaints that can be caused by an adhesion of one or both fallopian tubes are manifold. If the fallopian tube adhesion is caused by inflammation of the fallopian tubes (salpingitis), pain in the lower abdomen, pain during urination or sexual intercourse (cohabitation) and increased discharge (vaginal fluorine) may occur. Depending on the severity of the inflammation, fever and a reduction in physical performance may also occur.
If the inflammation leads to scarring or adhesions of the fallopian tube wall, infertility may occur. Endometriosis, in which benign scarring of the lining of the uterus in the abdominal and pelvic area can lead to the tubal tubes becoming stuck together, can cause pain during menstruation (dysmenorrhea), sexual intercourse (dyspareunia) or bowel movements (dyschecia), among many other complaints. If a blocked fallopian tube causes a disrupted transport of the fertilized egg towards the uterus, a so-called extrauterine pregnancy, i.e. a pregnancy outside the uterus, can develop.
In addition to spotting, in the worst case this can result in the fallopian tube bursting (rupture) with severe, sudden abdominal pain and heavy bleeding into the abdominal cavity. Since a tubal rupture is a life-threatening complication of an ectopic pregnancy, a doctor should be consulted as soon as possible if the strongest pain suddenly sets in. Tubal conglutination is often diagnosed when the women are still not pregnant after years of trying to conceive and therefore consult a gynecologist. In this context, one speaks of so-called tubal sterility, since childlessness is due to changes in the fallopian tubes. The adhesions usually remain unnoticed for a long time and are usually already in an advanced stage at the time of diagnosis.
