Is Mycoplasma Always Responsible for Blocked Fallopian Tubes?

Tubal blockage is commonly associated with pathogenic infections. These infections can harm the epithelial tissue of the fallopian tube mucosa, leading to inflammation and disruption of the mucosal structure. As a result, adhesions and obstructions may form within the fallopian tube mucosa. The pathogens responsible for these infections include:

1. Exogenous pathogens: Neisseria gonorrhoeae, Chlamydia trachomatis, and mycoplasma.
2. Endogenous pathogens: Aerobic and anaerobic bacteria, or a combination of both.

Additionally, blocked fallopian tubes can result from factors such as pelvic and abdominal surgeries, endometriosis, and other causes. Therefore, while mycoplasma infection can potentially contribute to fallopian tube blockage, it is not necessarily the sole cause.

Is it always the case that mycoplasma infection leads to blockage of the fallopian tubes?

If the symptoms are mild and the patient has good physical fitness, it generally does not cause blockage of the fallopian tubes. However, if the symptoms are severe or the patient's body is poor, it usually causes blockage of the fallopian tubes. The specific content is as follows:

1. Mycoplasma does not cause blockage of the fallopian tubes: After infection with Mycoplasma, it usually induces inflammatory lesions, which usually cause the mucous membranes in the fallopian tubes to be congested. If the symptoms are mild and the patient's physical condition is good, the inflammatory lesions usually gradually subside and generally do not cause blockage of the fallopian tubes.

2. Mycoplasma can cause blockage of the fallopian tubes: If the symptoms are severe or the patient's health is poor, Mycoplasma infection can cause female cervicitis, endometritis, pelvic adnexitis, etc. If not treated promptly, the inflammation can spread to the fallopian tubes, causing salpingitis. The lumen of the fallopian tube is relatively narrow, with the narrowest part having a diameter of only 1-2 mm. When salpingitis occurs, there will be swelling of the endometrium, interstitial edema, congestion, and exudation, and the mucosal epithelium of the fallopian tubes will fall off. The narrowest part and fimbriae end of the fallopian tubes are prone to adhesion or complete occlusion, leading to blockage of the fallopian tubes. At this point, patients need to seek medical attention promptly.

Suppose a patient discovers an increase in vaginal secretions, accompanied by itching of the external genitalia and vaginal itching, and has a history of unclean sexual activity. In that case, they need to be examined to understand the status of Mycoplasma infection.

The blockage of the fallopian tubes caused by Mycoplasma infection significantly impacts the ability to conceive and may lead to infertility. Infection with Mycoplasma can cause endometritis, salpingitis, and even blockage of the fallopian tubes, leading to infertility. During the period of Mycoplasma infection, even pregnancy can easily lead to threatened miscarriage and even premature birth because the infection of Mycoplasma can easily cause endometritis, and inflammation can easily consume nutrients in fat. If the embryo does not have nutrients, it will undergo embryo suspension.

So how to treat mycoplasma infection and the fallopian tube blockage caused by it?

Mycoplasma infection causes tubal obstruction mainly through surgical methods. Obstruction of the fallopian tubes requires treatment with a hysteroscopy or hysteroscopy at a gynecological hospital. If you suspect a blocked fallopian tube, you should go to a gynecological hospital for a detailed examination as soon as possible. After the fallopian tube is blocked, women will likely be unable to ovulate normally, causing obstacles to conception. After surgery, anti-inflammatory drugs can be used under the guidance of a doctor to prevent symptoms of Mycoplasma infection from worsening.

Surgical reshaping of the fallopian tubes involves performing interventional surgery on the fallopian tubes. After reshaping, the fallopian tubes are unobstructed after reshaping, allowing for a trial pregnancy. Suppose the patient is younger, such as under 30 years old. In that case, the male partner has good semen, and the patient's ovulation is not abnormal; laparoscopic salpingoplasty can be performed to see if they can conceive after the surgery.

IVF can also be performed: if the patient is older, over 35 years old, and also has other infertility factors, such as poor semen in the male or endometriosis in the female, and ovulation is abnormal, it is not easy for such patients to undergo fallopian tube surgery. IVF can be performed directly to assist in pregnancy.

Tubal blockage caused by Mycoplasma infection can generally be treated with effective antibiotics, usually oral or intravenous.

Conservative treatment can also be adopted. Suppose it is a mild blockage of the fallopian tube. In that case, conservative treatment can be given, and drugs that promote blood circulation and remove blood stasis (such as herbal medicine Fuyan Pill), traditional Chinese medicine enema, microwave therapy, etc. can be used to treat the blockage of the fallopian tube.