FALLOPIAN TUBESInfertility,
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The fallopian tubes play an
important role in pregnancy or conception. This branch outs from either
side of the body of the uterus and forms the passages through which the
egg is conducted from the ovary into the uterus. The fallopian tubes are
about 10 cm long & the outer end of each tube is funnel shaped, ending
in long fringes called fimbriae. The fimbriae catch the mature egg and
channel it down into the fallopian tube when it is released from the
ovary. Fallopian tube itself is highly movable muscular structure
capable of precisely coordinated movement. The egg & the sperm meet in
the outer half of the fallopian tube, called the ampulla fertilization
occurs here, after which the fertilized egg now called an embryo its way
down the tube towards the uterus. The uterine end of the fallopian tube,
called the isthmus, prevents the embryo from being released into the
uterus until just the right time for implantation, which is about 4 to 7
days after ovulation. The tube is much more complex than a simple pipe,
and the lining of the tube is folded and lined with microscopic hair
like projection called cilia, whose beating pushes the egg and embryo
along the tube, the tubal lining also produces a fluid that nourishes
the egg and embryo during its sojourn in the tube.
Fallopian tube abnormalities account for between 25% and 50% of female
infertility. Damages to fallopian tubes usually occur through pelvic
infection, often due to unknown causes. There are certain causes of
pelvic infection.
;
Sexually
transmitted diseases
;
Infection
after childbirth, miscarriage, medical termination of pregnancy (MTP) or
IUD (intrauterine device) insertion.
;
Postoperative pelvic infection (e.g. surgery for perforated appendix,
ovarian cysts)
;
Severe
endometriosis's
;
Tuberculosis
Besides causing blocked tubes, any
pelvic inflammatory disease can also produce bands of scar tissue,
called adhesions, which can alter the functioning of the fallopian
tubes. Pelvic tuberculosis is a fairy common cause of tubal damage in
India. It is a silent disease, and most women suffering from pelvic
tuberculosis are unaware of this fact. The tuberculosis bacteria reach
the tubes from the lungs through the bloodstream & can cause irreparable
tubal damage. There are also certain other abnormalities in which
fallopian tubes get damaged but they are very minimal. These
abnormalities can be treated successfully through unani herbal
medications.