Diseases of the fallopian tubes

Classification of fallopian tube diseases

  • Fallopian tube diseases caused by pregnancy
  • Inflammatory fallopian tube diseases

Fallopian tube diseases caused by pregnancy

In an ectopic pregnancy, the fertilised egg mistakenly nests in the fallopian tube instead of the uterus. The fallopian tube is the place where a pregnancy most often “strays”. In many cases there is a very natural loss of an ectopic pregnancy because the embryo does not find good conditions here.

It dies and the dead tissue is then either absorbed (absorbed) or rejected by the mucous membrane of the fallopian tube and expelled during the next period. If the ectopic pregnancy does not come to a natural end, unilateral abdominal pain and possibly also fever will increase over the next few weeks. A possible consequence of a pregnancy in the fallopian tube is a rupture of the fallopian tubes around the 7th/8th week of pregnancy.

The fallopian tube tears apart and bleeds heavily into the abdominal cavity, which is a life-threatening situation. If there is any suspicion, an immediate emergency operation is performed by means of laparoscopy. Depending on the extent of the fallopian tube rupture, in many cases the fallopian tube must be removed completely.

If ectopic pregnancy is discovered before the fallopian tube ruptures, surgery must also be performed. It is then possible to operate so that the fallopian tube does not have to be removed. However, the subsequent scarring of the fallopian tube increases the risk of a repeat ectopic pregnancy.

Inflammatory fallopian tube diseases

In many cases, an adhesion of the fallopian tubes is the result of an inflammation caused by chlamydia, gonococcus or intestinal bacteria. Tubal conglutination is also possible after an ectopic pregnancy and as a result of endometriosis. More rarely, adhesions occur after an inflammation in the puerperium or as a result of an infection after a miscarriage.

The inflammation causes deformation of the fallopian tube due to accumulating secretions (e.g. purulent in an acute inflammation). Depending on the underlying disease, the affected women suffer from pain, bleeding disorders, discharge and possibly fever. Unfortunately, the adhesion of the fallopian tubes can lead to unwanted childlessness. A reopening of the fallopian tubes is not possible, the therapy consists in the surgical removal of the fallopian tube.