Tubal Disease Treatment in New York
Managing and Understanding Tubal Disease
Tubal disease is one of the most common causes of infertility. When a woman has tubal disease, she has blocked or damaged fallopian tubes, which prohibit the eggs and embryo from transporting into the uterus. In the event that the tubes are blocked by adhesions, sperm might connect with the egg in the fallopian tube and result in an ectopic pregnancy (pregnancy outside of the uterus)..
Main Causes of Tubal Disease
There are three directly related causes of tubal disease.. Scar tissue is a large contributing factor. These adhesions can be the result of endometriosis, any type of gynecological surgery, cesarean section, bowel surgery, a ruptured appendix or some type of internal trauma. Additionally, any sexually transmitted diseases that go unnoticed and don’t receive proper treatment can damage the fallopian tubes, subsequently causing tubal disease. Common sexually transmitted diseases that do so are gonorrhea and chlamydia. Patients that have pelvic inflammatory disease or tubal ovarian abscess can have damaged fallopian tubes. Tubal ligation is another cause of tubal disease, when a woman’s fallopian tubes are tied as a means to prevent pregnancy. Similarly, tubal reversal also can cause tubal disease, as it can damage fallopian tubes as well.
A common form of diagnosing tubal disease, a hysterosalpingogram, is an X-ray test. During this diagnostic procedure, a radiologist places a catheter into the uterus and injects iodine contrast dye. The X-rays are taken to determine whether the fallopian tubes spill the dye.
An ultrasound procedure also used to diagnose tubal disease, a saline sonogram requires a physician to place a catheter into the uterus and inject normal saline into the uterine cavity. This test is best for determining any uterine anomalies, but sometimes can check if one or both tubes are open.
A surgical procedure, a laparoscopy is the final way to diagnose tubal disease. During the surgery, a woman is given anesthesia and a camera is inserted via a small incision into the umbilicus, allowing access to view the fallopian tubes. Dye is injected from a catheter and into the uterus to see whether tubal disease is present in the patient.
Tubal Disease Treatment
As far as treatment goes, there are a few routes that we recommend to women who have tubal disease. Laparoscopic surgery can be done to completely remove the scar tissue that is blocking the fallopian tubes. When a fallopian tube is really damaged, in vitro fertilization can be used to achieve a pregnancy, even after a tubal disease diagnosis. Should the fallopian tubes be swollen and result in hydrosalpinx, these tubes should be removed prior to IVF.
Our team at NYU Langone Reproductive Specialists of New York want to help as many patients as we can who suffer from tubal disease – especially those that wish to become pregnant. Thanks to our highly skilled staff and state-of-the-art facilities, we are able to provide the best diagnostic testing and treatment options available. Contact one of our New York-based offices, or request an appointment online to get in touch with us.