How to treat blocked but patent fallopian tubes

Under normal circumstances, fallopian tube patency with partial obstruction may be caused by congenital narrow fallopian tubes, residual adhesions after surgery, chronic salpingitis, endometriosis, or pelvic adhesions. It is recommended to seek medical attention promptly, identify the underlying cause, and improve the condition under a doctor's guidance through general treatments, medications, surgical interventions, etc. Specific analyses are as follows:

1. Congenital narrow fallopian tubes: Some individuals are born with naturally narrow fallopian tube lumens, which can impair the transport of eggs and sperm, leading to patency with partial blockage. This can be treated with fallopian tubal perfusion, injecting physiological saline or medication to dilate the lumen. After the procedure, follow your doctor’s instructions to take antibiotics such as cefuroxime axetil tablets, metronidazole tablets, or amoxicillin capsules to prevent infection and promote recovery.

2. Residual postoperative adhesions: After pelvic surgeries such as appendectomy or ectopic pregnancy surgery, residual tissue adhesions may block the fallopian tubes. Laparoscopic adhesion lysis is required to separate the adhered tissues and restore tubal patency. Early ambulation after surgery is encouraged to reduce the risk of recurrent adhesions.

3. Chronic salpingitis: Bacterial infections trigger chronic inflammation, causing congestion and edema of the fallopian tube mucosa, resulting in lumen narrowing. Patients should follow medical advice to take anti-inflammatory medications such as levofloxacin hydrochloride capsules, azithromycin tablets, or cefixime dispersible tablets to control the infection.

4. Endometriosis: Ectopic endometrial tissue invading the fallopian tubes can lead to lumen narrowing or reduced peristalsis. Mild cases can be managed with medications such as gestrinone capsules, norethisterone tablets, or dydrogesterone tablets as directed by a physician to suppress the growth of ectopic endometrial tissue.

5. Pelvic adhesions: Long-term irritation from pelvic inflammatory disease can cause pelvic tissues to adhere, pulling on the fallopian tubes and affecting their patency. Laparoscopic pelvic adhesion lysis is needed to separate the adhered uterus, ovaries, and fallopian tubes, restoring their normal anatomical position.

In daily life, maintain good personal hygiene, avoid unclean sexual practices, and reduce the risk of pelvic infections. Eat a light diet rich in vitamins to strengthen immunity. Maintain a positive mindset during treatment, avoid excessive fatigue, and support the recovery of fallopian tube function.