Abstract

A REVIEW ON “FALLOPIAN TUBE BLOCKAGE”

Axita Parmar*, Shikha Mishra, Prof. Pooja Patel and Dr. Umesh Upadhyay

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Abstract

One of the most common causes of female infertility is tubal obstruction. The purpose of this study is to see how effective Yavakshara Taila Uttarabasti is for tubal obstruction. Patients of childbearing age with an active marital life of one year or more who complained of infertility and had at least one fallopian tube blocked as determined by Hysterosalpingography (HSG) were chosen for research. The results of 52 patients from three studies with similar treatment protocols and selection and assessment criteria are provided in this paper. 42.31 percent of the 47 patients who completed the treatment had unilateral tubal obstruction, while 57.70 percent had bilateral tubal blockage. Yavakshara Taila (5 ml) Intrauterine Uttarabasti for 6 days (with a three-day break in between) following menses for two consecutive cycles was used as the intervention in these investigations. Tubal patency was reached in 80.85% of patients, and conception was obtained in 06.38 percent of patients without complications, according to the findings. The fallopian tube is a delicate anatomic tract that leads to human reproduction. Radiologists can use simple, low-cost equipment and techniques to gain access to this structure in order to promote and prevent pregnancy. Catheter recanalization is doable in 90% of women with proximal tubal blockage using simple angiographic procedures familiar to all interventional radiologists, according to results from centres throughout the world. Patients with proximal tubal blockage on a hysterosalpingogram (HSG) should have their fallopian tubes catheterized with selective salpingography before undergoing more invasive and expensive infertility therapies, according to the American Society for Reproductive Medicine. When the unblocked tubes are proven to be normal and there is no history of tubal illness, the pregnancy rate after fallopian tube recanalization can be as high as 60%. Tubal catheterization may not only assist women conceive, but it may also help to better diagnose the underlying tubal abnormalities in a population where the reason of infertility is less clearly established. Several materials and technologies for restricting fallopian tubes have been tested in the prevention of undesired pregnancy. In2002, the FDA approved the ESSURE coil (Conceptus, Inc., Mountain View, CA) for hysteroscopic tubal sterilisation. Radiologists are being asked to assist with this surgery or to install the coils fluoroscopically through fallopian tube catheterization in some locations.

Keywords: Fallopian tube, hysterosalpingography (HSG), catheterization, fertility, sterilization, Tubal blockage, Proximal tubal blockage/Selective salpingography/Tubal perfusion pressures, Infertility, Vandhyatva.