Therapy
If ectopic pregnancy is detected at an early stage, treatment with the chemotherapeutic agent methotrexate is usually sufficient. In cases of late detection, surgery is usually necessary after all. Emergency surgery has become very rare in the meantime due to good diagnostics.
Rapid tube bonding
Fallopian tube adhesions are responsible for about 20% of infertility in women in Germany. In most cases, the fallopian tube adhesions are caused by inflammation. The upper open end of the fallopian tube, where the fimbriae (“fringes” of the fallopian tube) are also located, often becomes stuck.
These are usually ascending infections from the vaginal tract. Damage to the ciliated epithelium of the fallopian tube often occurs even in the event of inflammation. It can even happen that the inflammation here forms a cavity filled with pus.
The inflammation is usually caused by bacterial infections, adhesions can be caused by Chlamydia bacteria, anaerobes, Gram-negative bacteria, Neisseria gonorrhoeae (also known as gonorrhea) and in very rare cases by tuberculosis. This often leads to an ascending fallopian tube infection through the vagina. Most often, the intestinal bacteria of Enterococci and E. coli are responsible for the inflammation.
But Chlamydia is also involved in 40% of cases. The infections often proceed without symptoms, only small bleedings give a suspicion. Only later do other typical symptoms such as pain and fever appear.
In patients with coils, the risk of ascending infections is even higher. In addition, the likelihood of ascending infections increases with frequent sexual intercourse. and symptoms of inflammation of the fallopian tubes
