Tubal Factor – Fallopian Tube Function Disorder
Thickening of the fallopian tube walls, deficits in their function, narrowing or even blockage are often the result of some type of pelvic inflammation or can be caused by undiagnosed infection, such as after an abortion or by an asymptomatic infection (e.g., chlamydia or gonorrhea).
Endometriosis or congenital abnormalities and defects can be the cause as well. Women with damaged fallopian tubes not only have a low chance of spontaneously conceiving, but also have a higher risk of ectopic pregnancy, in which the fertilized egg is stopped along its path to the uterine cavity, nests there, and can destroy the fallopian tube or cause it to rupture and bleed into the abdominal cavity, threatening the woman´s life.
Pelvic adhesions – also known as scar tissue, usually occur between the pelvic and abdominal structures and block the contact between the fallopian tube and the ovary. This prevents egg capture during ovulation.
Pelvic adhesions usually form as a result of an inflammatory disease in a woman´s pelvic area, such as during severe inflammation of the appendix, after abdominal surgeries or during endometriosis, but also during an undetected, insidious inflammation without serious complications.
Even though modern endoscopic methods (i.e., laparoscopy) are quite advanced, the majority of pelvic adhesions are very difficult to remove and repeated surgeries can lead to the formation of new ones. That is why infertility treatment for the occurrence of lower clearance in the fallopian tubes, their blockage or pelvic adhesions, which restrict the contact with the ovaries, include assisted reproductive methods, namely outside the body fertilization – in vitro fertilization IVF.
Polycystic Ovary Syndrome (PCOS)
Age
Ovulation Disorders
Endometriosis
Tubal Factor