When normal eggs are released from the ovaries, they enter the fallopian tubes through the umbrella-like fimbriae. At this point, if there is sexual intercourse, the sperm in the semen enters the uterine cavity through the vagina, enters the fallopian tubes, and can meet the egg in the ampulla of the fallopian tube. 

When sperm enters the egg, the process of fertilization is completed through genetic rearrangement, developing into a fertilized egg. Therefore, once the fallopian tube malfunctions, it is equivalent to blocking the bridge of life, directly causing infertility.

Understanding the Fallopian Tubes

The fallopian tubes are important organs in the human body, playing an indispensable role in human reproduction. The fallopian tubes are long and curved tubes, about 8-14 centimeters long. The fallopian tubes, along with adjacent ligaments, stretch out like a pair of wings behind an angel. They have four main functions: transporting sperm, capturing eggs, providing a site for sperm-egg binding, and transporting fertilized eggs into the uterine cavity. 

Any impairment in these functions can lead to reproductive dysfunction. If the fallopian tubes are blocked, sperm and eggs cannot fertilize, or if fertilization occurs, the fertilized egg may not enter the uterine cavity as expected, resulting in ectopic pregnancy.

Causes of Tubal Infertility

Tubal factor infertility is the leading cause of infertility among all factors, accounting for about 25%-50% of female infertility.

1. Gynecological Inflammation

Chronic pelvic inflammatory disease often manifests as bilateral salpingitis, gradually leading to partial or complete closure of the fallopian tube openings, especially the portion that receives eggs (referred to as the fimbriae), or causing the fallopian tube's inner mucosa to adhere due to inflammation, narrowing or occluding the lumen. This obstruction prevents the passage of eggs, sperm, or fertilized eggs, leading to infertility.

2. Infection Caused by Miscarriage

Induced abortion can cause significant damage to the fallopian tubes. Post-abortion, postpartum, bacterial infections, appendiceal perforation, and other factors commonly lead to inflammation around the fallopian tubes, forming adhesions and mechanical twisting or compressing of the tubal lumen, affecting the normal peristalsis of the fallopian tubes, thus hindering the transport of fertilized eggs.

3. Pelvic Adhesions

Female patients who have undergone pelvic surgery often develop adhesions, where fibrous tissues connect together. These adhesions usually cover the ovaries and the ends of the fallopian tubes within the pelvic cavity, or adhere the fallopian tubes to other tissues.

4. Endometriosis

Endometriosis is a common gynecological disease characterized by abnormal bleeding, dysmenorrhea, and cyclical abdominal distension. The accumulation of a large number of inflammatory factors in the pelvic cavity affects the structure and function of the reproductive organs, causing extensive adhesions around the ovaries and fallopian tubes, thereby disrupting the structure and function of the fallopian tubes.

How to Prepare for Pregnancy with Tubal Issues?

1. Active Treatment

Pre-pregnancy examinations for women are crucial. Currently, there are various methods to treat tubal infertility, mainly through minimally invasive surgery. For patients with mild tubal lesions, drug therapy and other measures can also be used. For common issues such as tubal obstruction, hydrosalpinx, adhesions, patients can choose traditional Chinese medicine Fuyan Pill for treatment. Specific treatment methods need to be determined based on the examination results.

2. Adjusting Lifestyle Habits

Before planning for pregnancy, ensure regular schedules and adequate sleep. Maintain a balanced diet, avoid spicy, raw, and cold foods, and pay attention to menstrual hygiene.

3. Regular Check-ups

The early symptoms of tubal infertility are often subtle, and infertility may already be present when problems are detected. Therefore, women should pay attention to preventive measures in daily life, undergo regular check-ups, and prevent tubal infertility from occurring at the source.

4. Hygiene in Sexual Activity

The hygiene of sexual activity between spouses is directly related to tubal health. Therefore, intercourse is prohibited during menstruation, within one month after abortion, uterine cavity surgery, and during the puerperium.

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