Uterine adhesions

Operative interventions and inflammatory processes in the uterus can cause a serious damage to the woman's body. Often this leads to the formation of uterine adhesions. They represent small formations of connective tissue. Finding them in the fallopian tubes entails the impossibility of conception.

ICD-10 code

The International Classification of Diseases is a system for coding all existing diseases by assigning their own numbers. This procedure allows doctors all over the world, regardless of their native language, to understand what the problem is causing the patient. According to the code for microbial cells, 10 spikes are classified as inflammatory diseases of female pelvic organs and are coded under N70-N77.

This subgroup does not include complicated situations. In that number, abortion, ectopic or molar pregnancy (O00-O07, O08.0). Pregnancy, childbirth, the puerperium (O23, O75.3, O85, O86).

N70 Salpingitis and oophoritis. This group includes: abscess of the fallopian tube, ovary, tubo-ovarian, as well as pyosalpinx, salpingoophoritis and tubo-ovarian inflammatory disease. N70.0 Acute salpingitis and oophoritis. N70.1 Chronic salpingitis and oophoritis. N70.9 Salpingitis and oophoritis, unspecified.

Causes of tubal adhesions

Medicine knows several basic factors that can lead to the development of this situation. Provoke the development of irritation and lead to the formation of adhesions of the fallopian tubes, may the following reasons.

• Mechanical effects. These include surgical interventions. They severely injure the mucous membrane of the uterus, leading to the development of adhesive process.
• Gynecological diseases. Previously transferred serious diseases, including salpingitis, are able to close the outer openings of pipes and thus lead to their adhesions. Chlamydia and endometriosis are especially dangerous.

Most often spikes appear due to previously made abortions, moxibustion and operations in the abdominal cavity. Lead to the development process are capable of ruptures during labor, hysteroscopy, cesarean section and laparoscopy. Uterine can be injured by an intrauterine device. If a woman does not interfere with giving birth independently, it is better to do so. Caesarean section is an easy way, but it can lead to the development of unwanted processes in the abdominal cavity.

[1],

Pathogenesis

The adhesion process is most often manifested in different ways. There are pelvic pains that have a pulling and aching character. Not understanding the true cause of this condition, women resort to self-medication. The pathogenesis of the phenomenon is quite interesting and completely depends on the place of development of the spike.

Thus, permanent constipation can lead to impaired functionality of the intestines and thereby cause the formation of loops in the form of adhesions. Negative process negatively affects pregnancy. As a result of the formation of adhesions, the uterine tubes are deformed, which prevents the egg from entering the uterine cavity.

The adhesion process is based on mechanical damage. It can be associated with a previous abortion or a surgical procedure. Damaged parts of the mucous membrane of the uterus are not restored, the tissue is not capable of regeneration and spikes are formed at the site of damage.

Symptoms of adhesions of the fallopian tubes

Noticing the problem is not always easy. Many patients note the appearance of aching and drawing pains. Due attention to this symptom is not given. In terms of intensity, the pains are similar to premenstrual syndrome, inflammation of the intestine, etc. Self-determination of the cause is impossible. Pain in this case is associated with anatomical disorders, not inflammatory processes. The whole danger of the situation is that for a long time a woman may not know about the presence of tubal adhesions, in view of the absence of symptoms.

Impossibility of conception may be the first cause of adhesions. With damage to the fallopian tubes, the ability to have a child is reduced to zero. Adhesive process does not allow the ovule to penetrate into the uterine cavity and thus leads to the development of an ectopic pregnancy.

Obstruction of the fallopian tubes is not characterized by a certain symptomatology. This condition does not pester a woman, she feels fine. You can identify the adhesion process on examination.

First signs

Uterine adhesions do not manifest themselves in any way. Their presence in the body of a woman does not affect her state of health at all. The menstrual cycle is not broken, there is no special soreness. It is possible to become suspicious if it is impossible to become pregnant. Most often, the absence of conception is the first sign of obstruction.

However, adhesive formation can be suspected. This is possible in the event that the symptoms of the inflammatory process have appeared. It is characterized by a pronounced pain syndrome and a significant increase in body temperature.

As mentioned above, the main sign of the development of the adhesion process is the absence of pregnancy in the presence of a regular sexual life without protection. A woman can suspect the development of a pathological process on her own. With ovulation problems are not present, basal temperature in norm or rate, US of any deviations or rejections has not shown, and pregnancy and has not come or stepped.

[2], [3], [4]

Pain in soldering the fallopian tubes

So far, there is no precise data on the tangential pain syndrome in the presence of adhesions. In most cases, pain is associated with a postoperative rehabilitation period or the presence of an inflammatory process. Is it possible to have severe pain during adhesions in the fallopian tubes or not, no one will definitely answer.

Thanks to the studies, one thing became known: the frequency of pain syndrome in women with spikes is exactly the same as in the absence of this process. Its severity depends on the extent of the scar.

Relieve pain, operations are possible in the course of which the adhesions are safely removed. Most women describe the nature of the pain syndrome is not strong and short. Strengthen it is capable at movement, during the sexual certificate or act and after it or him. Pain can be pronounced with a long sitting position or as a result of hypothermia.

Uterine-ovary adhesions

This process is very difficult. The matter is that the uterine ovarian adhesions completely cover the "lumen" between the uterus and the ovaries. This leads to the impossibility of conception. Pregnancy can occur, but in the absence of the possibility of penetration of the egg into the uterine cavity, ectopic pregnancy develops.

If you do not notice the pathological process in time, there is a possibility of a lethal outcome. Ectopic pregnancy is characterized by severe bleeding, which is hard to stop. With the timely detection of it, the fruit egg is removed. In some cases, remove part or the entire fallopian tube. This surgical intervention leads to the fact that a woman can never become a mother.

Adherent process is really dangerous. If you do not find it on time, there is a risk of serious complications, including ectopic pregnancy. This indicates that only a systematic visit to the gynecologist and the delivery of tests will reveal the presence of adhesions.

Effects

The adhesive process can affect a large area. As a result, long chains are formed, based not only on tissues and ligaments, but also on organs. Pathology is able to attack weak organs, which can be located on any part of the chain. The consequences of this process can be very serious. Often this leads to episiotomy. This procedure is often practiced by midwives. It requires a small incision of the vagina, to facilitate the passage of the fetus during childbirth. As a result, the likelihood of the adhesion process increases many-fold.

The consequences of adhesions directly depend on their size and the area covered. As for the adhesive process in the fallopian tubes, in most cases it is characterized by the impossibility of conception of the child. If this happens, the risk of developing an ectopic pregnancy is very high. As a result, it will have to remove not only a part of the pipe, but possibly its entirety. This will lead to the inability to have offspring.

[5], [6], [7],

Complications

Adhesive disease is the most formidable phenomenon, which can cause serious health problems. There were cases when the process was so favorable that it did not involve the development of complications. If the adhesive process makes itself felt, it all depends on its vastness.

For a long time a woman may not know about the existence of such a pathology. After all, it has no symptoms, and it is impossible to determine it by yourself. Problems begin when the menstrual cycle is lost, problems arise with conception, and the uterine bend develops. This is only part of the various complications of the adhesive process.

Often spikes lead to complete obstruction of the fallopian tubes, ectopic pregnancy and intestinal obstruction. Moreover, the process can begin to manifest itself in an acute form, bearing a certain threat to the life of a woman. Any representative of the fair sex is able to protect herself, by systematic gynecological examination and not ignoring strange symptoms.

[8], [9], [10]

Diagnosis of adhesions in the fallopian tubes

Identify the disease is not so simple. In this case, it is impossible to diagnose the patient's complaints, because they simply do not. Diagnosis of adhesions in the fallopian tubes implies the use of some instrumental methods.

• Hysterosalpingography. This is a retgenological method, based on the introduction of a special contrast agent into the uterine cavity. With the help of the X-ray machine, tracking of its progress is carried out.
• Hydro sonography. The method is based on the introduction of a sterile solution into the uterine cavity. Through ultrasound it is studied.
• Laparoscopy. Fallopian tubes can be studied by making several incisions on the abdominal wall. Through them, carbon dioxide and a camera are introduced. This allows us to assess the condition of the fallopian tubes and their patency.
• Fertiloscopy. The method is similar to laparoscopy, however, the incisions are made directly into the vagina.

These methods, even in combination, are not capable of giving 100% of the result. Therefore, they are supplemented by additional methods. These include: ultrasound, examination of the cervix and the study of the semen of a woman's sexual partner.

[11], [12], [13]

Analyzes

During the diagnosis, specialists collect all the data on the life of a woman. In the absence of fallopian tubes, it is necessary to provide extracts from previous operations. Important is the examination of the therapist, infectious disease specialist, endocrinologist and psychiatrist. As for the analyzes, they will have to be handed over quite a lot.

General blood analysis. It allows you to track the quantitative content of all important components. Among them are: leukocytes, hemoglobin, erythrocytes, platelets. The coagulation time and the ESR index are determined. Blood biochemistry is conducted to monitor the amount of total protein, urea, sugar and creatinine. They resort to the help of a coagulogram, the blood group and its rhesus are determined. As an additional source of information, a general urine test is given.

The tests for RV, hepatitis, HIV and Australian AH are mandatory. You will have to donate blood to hormones: estradiol, testosterone, prolactin and progesterone.

As additional studies, a general smear, bacterial culture is carried out. A man needs to pass tests for HIV, RV, Australian AH, Hepatitis C, B. In this case, and spermogram.

[14], [15]

Instrumental diagnostics

The first step is to determine the presence / absence of regular ovulation in a woman. This is done by ultrasound, along with this the patient must independently measure the basal temperature for several cycles. As an instrumental diagnosis, many methods are used to give a complete picture of what is happening.

• Ultrasound. Ordinary transvaginal examination is not able to determine the obstruction of the tubes. A special USGSS will help in this. The only drawback of this method is the inaccuracy of the results. However, this method is widely applicable. Before the procedure, the doctor enters a special sterile solution into the uterine cavity. This will spread the walls of the uterus and make them more visible on ultrasound. After that, the specialist determines where the liquid flows. If the fallopian tubes are characterized by their obstruction, the uterus under the oppression of the injected solution will begin to stretch.
• GHA - hysterosalpingography, X-ray of the uterus and tubes. This method is more informative than the previous one. But in recent years it is not used so often. He is especially informative when diagnosing tuberculosis of female genital organs, and not uterine adhesions. The essence of the procedure is to conduct a contrast agent in the uterine cavity and perform several X-ray images. In case of obstruction, the solution will gather in one place and this will be seen in the picture.
• Diagnostic laparoscopy. This technique is the most popular and informative. It allows you to diagnose not only obstruction of the fallopian tubes, but also to identify the main causes of infertility. The advantage of the study is the high accuracy of the results obtained. To determine the obstruction, a special solution is introduced into the cervix, which penetrates into the abdominal cavity.
• Fertiloscopy and transvaginal hydrolaparoscopy. This method is an examination of the female genital organs with a video camera. Most often this procedure is carried out together with chromohydroturbation, hysteroscopy and salpingoscopy.

The above methods allow us to determine the exact cause of the development of obstruction. But for greater informativeness, instrumental diagnostics is combined with laboratory research.

Ultrasound

Ultrasound examination allows to determine the presence of pathological processes in the sexual organs of a woman. Based on the principle of echolocation. The device sends an ultrasonic signal and receives it in a reflected form from various tissue media. Ultrasound is informative, but it is not enough to determine its adhesions.

It is carried out by an abdominal probe, that is, through the abdomen and by a transvaginal route. Despite its poor information content, the method is the safest. It can be done even for pregnant girls. However, conventional ultrasound does not provide enough information to determine the presence of adhesions. In this case, they resort to UZGSS help. It is based on the introduction of a special sterile substance into the uterine cavity. The specialist observes fluid movements and on the basis of this can diagnose.

To date, ultrasound is not used so often, but it is not effective not only in the case of obstruction. In general, it is an effective and safe research.

Differential diagnostics

The blood and urine of the patient are given to identify signs of an inflammatory process. To indicate this can change the parameters of ESR, the level of leukocytes, the appearance of C - reactive protein. Differential diagnosis is based on methods aimed at studying blood and determining the levels of contained components in it.

In the presence of altered indicators, the doctor can assume the presence of an inflammatory process, which resulted in the development of obstruction. This will determine the further tactics of the diagnostic measures being carried out.

• Bacteriological smear. It is taken to confirm / deny the presence of infection. Bacteria that penetrated into the sexual organs of a woman could provoke an inflammatory process in them with a change in the structure of the mucous membrane. As a result, the development of adhesions is not ruled out. The procedure for taking a smear is painless, provided that the infection is at the level of the vagina. If it is much further away, the material for research is taken from the area of the uterine tube. Endoscopic methods are used for this process.
• Analysis for hormones. In this case, the patient's blood is examined. Obstruction of the fallopian tubes can be associated with the level of hormones. They must be delivered on certain days of the menstrual cycle.

[16], [17]

Treatment of uterine adhesions

Before starting treatment, a specialist should make sure that the patient has only an obstruction. A standard comprehensive survey will determine the exact cause of the process and choose the optimal scheme for their elimination. Treatment of uterine adhesions is aimed at complete removal of pathology. It is carried out, it can be both conservative and operative.

Conservative treatment implies the use of anti-inflammatory therapy. It consists in the use of antibiotics, injections and physiotherapy. These methods will make it possible to achieve positive dynamics, but only if the period from the moment of the formation of adhesions has passed no more than six months. If the adhesive process is pronounced, you will have to resort to surgery.

Surgical treatment is indicated at the age of 35, given that the woman has regular ovulation, and obstruction is partial. Even this solution does not guarantee 100% success.

If a woman succeeds in getting pregnant after the treatment, you should immediately go to the doctor. The specialist will identify the locations of the fetal egg, in order to avoid the development of an ectopic pregnancy.

Medications

A number of special medicines are used to eliminate the adhesive process. They need to be taken together in order to achieve the optimal therapeutic effect. In order to eliminate adhesions, resort to the help of resorptive drugs. Among them are: Trypsin and Chymotrypsin. With them, antihistamines may be prescribed: Dimedrol and Suprastin. Widely used and anticoagulants, such as Heparin. For the removal of the inflammatory process apply: Paracetamol, Butadione and Ibuprofen. Eliminate severe pain syndrome will allow: Analgin, Tempalgin and Diclofenac. Coping with infections, and speed up the healing process, antibiotics: Tetracycline, Trimezol and Biseptol.

• Trypsin. The drug is administered intramuscularly. The dose is prescribed by the doctor, depending on the severity of the adhesive process. It can not be used for bleeding wounds. May lead to the development of burning, allergic reactions.
• Chymotrypsin. The agent is administered intramuscularly, according to the instructions of the attending physician. It can not be used for malignant neoplasms, bleeding wounds and individual intolerance. Can lead to itching and allergic reactions.
• Dimedrol. The drug is taken on 30-50 mg 1-3 times a day. The duration of therapy depends on the severity of the adhesion process. Use the drug is not possible with hypersensitivity and bronchial asthma. May lead to the development of fatigue, to have a sedative effect and to provoke a tachycardia.
• Suprastin. The drug is used during the meal, at 0,025 grams 2-3 times a day. In severe cases, it is administered intramuscularly. It is not recommended to use people whose work requires increased concentration. May lead to the development of general weakness and drowsiness.
• Heparin. Doses and the way of application are appointed individually by the attending physician. The drug can not be used for bleeding of any site and hypersensitivity. May provoke bleeding and allergic reactions.
• Paracetamol. The agent is actively used to eliminate the inflammatory process. Its daily dose depends on its severity. The amount of the drug should not exceed 3 tablets per day. It is not recommended to use it for hypersensitivity, as well as during the period of bearing and breastfeeding. It can cause drowsiness, nausea, allergic reactions.
• Butadione. The agent is applied to 0.1-0.15 grams up to 4 times a day. The duration of treatment is 5 weeks. You can not take the remedy with peptic ulcer and violations of the functionality of the liver and kidneys. May provoke nausea and pain in the stomach.
• Ibuprofen. The average dosage is 400 mg 3 times a day. The dose is adjusted depending on the severity of the pain syndrome. Take the drug is not possible with erosion of the gastrointestinal tract, ulcerative colitis and hypersensitivity. It can lead to nausea, heartburn, constipation and even anorexia.
• Analgin. The product allows you to cope with the pain, for this use it at a rate of 2-3 tablets per day. Dosage can be changed depending on the severity of the pain syndrome. Do not use the drug with severe hypersensitivity. Can lead to the development of violations from the gastrointestinal tract.
• Tempalgin. The drug is characterized by its effectiveness. Its effect is much higher than that of Analgin. It can be used in the amount of 2-3x tablets per day. Under no circumstances should you use a medicine with alcoholic beverages. Its use is forbidden for intolerance, pregnancy and childhood. It can affect the functionality of the liver and kidneys, lead to the development of allergic reactions.
• Diclofenac. The drug can be used both in the form of tablets and injections. If obstruction of the fallopian tubes it is used orally, depending on the severity of the pain syndrome. The daily dose does not exceed 2-3 tablets. It can only be corrected by the attending physician. Do not use the product if the liver and kidneys, pregnancy and hypersensitivity are disturbed. May cause nausea, vomiting, abdominal pain and allergic reactions.
• Tetracycline. Before using the drug sensitivity to the microflora is carried out. The allowable dosage is 0.25 grams every 6 hours. The duration of therapy is individual. Take the product is not recommended for fungal diseases and leukopenia. May provoke allergic reactions.
• Trimezol, Biseptol. The optimal dosage is 4 tablets per day. The action of medications is the same. They can not be taken if there is a marked disruption in the functionality of the liver and kidneys, as well as hypersensitivity. May lead to the development of allergic reactions.

Suppositories from adhesions in the fallopian tubes

The use of suppositories will speed up the healing process. The use of suppositories from adhesions in the fallopian tubes is aimed at resorption and removal of the inflammatory process. To this end, use drugs such as: Longidasa, Meloksikam and Lidaza.

• Longitude. Suppositories are intended for rectal and vaginal administration. Vaginally they are used at night for one suppository. The duration of treatment does not exceed 10 days. Rectally, the suppository is administered once every two days, the total duration of therapy is 20 days. They can not be used in case of irritation, hypersensitivity, cracks and kidney function. May cause allergic reactions.
• Meloksikam. The total daily dose should not exceed 15 mg (one suppository). The duration of therapy is 10 days. Use suppository is not possible with ulcers, severe kidney failure and hypersensitivity. May provoke drowsiness, dizziness, confusion, leukopenia.
• Lidase. Suppositories are administered once a day, one piece each. The duration of treatment is 7-10 days. Do not use them for hypersensitivity, bleeding. Suppositories can lead to the development of allergic reactions.

Injections from adhesions in the fallopian tubes

Injections help to cope with the pathological process. Their action is aimed at removing inflammation, eliminating pain syndrome and resolving adhesions. The injection from the adhesions in the fallopian tubes is prescribed by the attending physician, in conjunction with other methods of treatment. Actively apply solutions: Longidasa, Lidaza and Plasmol.

• Longitude. The solution is administered intramuscularly, in the volume of 3000 IU. Duration of treatment is 5-15 days. Everything depends on the severity of the disease. The interval between administrations can be 3-10 days. Use of injections is not recommended for malignant neoplasms, pregnancy, childhood and hypersensitivity. Perhaps the development of allergic reactions, which independently pass after 2-3 days.
• Lidase. The solution is administered subcutaneously and intramuscularly. For injection, the contents of one capsule are dissolved in 1 ml of 0.5% novocaine. The course of treatment depends on the severity of the adhesive process. On average, it is 10-20 days. Use of injections is not recommended for malignant neoplasms. The product may cause allergic reactions.
• Plasmol. The solution is administered subcutaneously. Enough of one injection per day, 1 ml. The duration of therapy is 10 days. Do not use the solution for tuberculosis, endocarditis, nephritis and hypersensitivity. Perhaps the development of allergic reactions.

Douching with propolis during tubal ligation

Propolis has become widespread in the field of traditional and alternative medicine. It is famous for its antibacterial and antiseptic properties. Apply it to affect many organs and body systems. It is widely used and syringing propolis, it allows you to cope with the spikes of the fallopian tubes.

To facilitate the condition, it is necessary to do the procedure using a 3% alcohol tincture of propolis. The duration of treatment is 10 days. Applying syringing, and following the application will achieve a positive result.

To increase the effectiveness of propolis used together with calendula. It is necessary to take tinctures of these components in equal amounts. A tablespoon of the mixture is dissolved in 500 ml of warm water and douching is done. The resulting remedy can also be used as a lotion.

Eliminate lotions and remove infection from the vagina will help syringing based on alcohol-aqueous emulsion propolis. The course of treatment is 2-3 weeks.

To eliminate the inflammatory process, douches are used with a 3% propolis solution. The procedure is carried out once a day, for 10 days.

[18]

Alternative treatment

The curative properties of alternative therapies can not be underestimated. To date, there are many effective recipes that are widely used even in the treatment of serious diseases. Alternative treatment can cope with spikes. The main thing is to correctly cook and use the drugs.

• Infusion on the decoction of the saber. The main ingredient is taken in the amount of a tablespoon. Sabelnik you need to pour 300 ml of vodka and properly insist. In a day, use a tablespoon of the product, diluted in 50 ml of water.
• Infusion of sage. A teaspoon of herbs is steamed in a glass of boiling water. For 30 minutes, everything is insisted and taken on a third cup 3 times a day.
• Infusion of milk thistle. A teaspoon of seeds or stems of the main ingredient is poured into 250 ml of boiling water. Infusion should be taken warm. Each time, you should brew a new portion.
• Infusion of juniper berries. It should take 15 grams of berries and insist them for 4 hours in a glass of warm water. Use the product you need on a tablespoon 3 times a day.
• Infusion from the root of the chernobylnik. It should be cooked in the evening. To do this, 3 tablespoons of the crushed root of the chernobylnik are filled in the thermos. Pour everything you need 3 cups of boiling water. In the morning, the infusion is filtered and used on a glass 3 times a day.

To neglect alternative methods of treatment it is not necessary. But to take them as a basis is also not correct. Alternative treatment can be used in conjunction with other traditional methods.

[19], [20], [21]

Bleeding Hijamu

One of the methods used by doctors is bloodletting. A lot of experiments were carried out with this method. The results of the study of the method of bloodletting hijam simply shocked the doctors. This method perfectly affects the body as a whole. It allows you to fight many diseases. Bleeding can normalize the pressure, provoke the production of interferon and even fight infections and cancers.

It was proved that the method allows to get rid of infertility, both men and women. The impossibility of conception is due to the presence of problems in the body. In most cases this is impeded by the adhesions in the fallopian tubes.

Before bleeding, you need to do a massage, it is advisable to resort to a vacuum. It is based on the use of cans, which are put on for a few minutes. Then, in their place cuts are made. To date, there are many tools for this procedure. The easiest and painless way is by cutting with the help of a blade. Use the method of bloodletting is not recommended in the event that a person has poor blood clotting. The effect of the procedure is stunning, but all the same, it should be used only after the doctor's approval.

Hirudotherapy with solderings in fallopian tubes

Hirudotherapy is nothing more than treatment with leeches. They can suck the excess of bad blood and thereby normalize a person's condition. Hirudotherapy is also widely used in soldering in the fallopian tubes.

Advantages of this type of treatment is weight. First, the procedure does not require surgical intervention. The operation opposite can lead to the appearance of a new adhesive process. Enzyme saliva leeches allows you to thin the blood and destructively act on the mucus, which is the main spike. Hirudotherapy has a general strengthening effect on the body as a whole, normalizes the blood supply of tissues and organs.

The procedure is carried out on an individual basis and depends on the intensity of the disease. Usually, 10-15 procedures are enough. For an optimal result, it is recommended to take 2-3 courses, with an interval of 2 weeks.

Hirudotherapy with adhesions in the fallopian tubes helps to eliminate the inflammatory process. In addition, the procedure normalizes blood circulation and prevents the development of ectopic pregnancy.

Herbal Treatment

The healing power of injuries can not be underestimated. They were used in ancient times to eliminate many diseases. Treatment with herbs helps to achieve positive dynamics, only to conduct it is necessary in conjunction with other methods.

• Recipe number 1. For the preparation of the infusion it is necessary to take one part of the mother-and-stepmother, the centipedes and sweet clover of yellow. All these ingredients are mixed with each other, the resulting mixture is taken one tablespoon and filled with boiling water. To insist means it is necessary during an hour, to take on a third of glass up to 6 times a day. The course of therapy is a month.
• Recipe number 2. It is necessary to take 2 parts of the root of the altea, mother-and-stepmother and thyme. For maximum effect, part of St. John's wort, wren and yarrow are taken. All ingredients are mixed together. From the received collection 3 tablespoons are taken and filled with boiling water. The remedy is infused for 2 hours and filtered. Take 100 grams 3 times a day. The course of treatment is two months.
• Recipe number 3. It should take 3 parts of nettle, cuff, 2 parts of leaves of melissa and valerian. The ingredients are mixed together, the resulting mixture is taken a tablespoon and filled with boiling water. Infuse 40 minutes, take after filtering to 20 grams per day.

Field geranium

Medicinal herbs have a number of positive properties. So, the field geranium can have antiseptic and anti-inflammatory action, normalize blood circulation, anesthetize. For treatment it is necessary to use the correct geranium. Collect it in the period of active flowering. The age of the plant should not be less than 2 years. Billets are made in the early autumn, the place of collection of geranium should be environmentally friendly.

• Infusion of a flower. It is necessary to take geranium in dry form and grind it to the state of gruel. Then pour water and place in a warm place. After 10 minutes, the product is filtered. It is necessary to take it both as a man and as a woman.
• Oil from geranium. Essential oil of geranium allows to normalize a hormonal background and to remove a painful syndrome at monthly. In addition, it helps to cope with the adhesive process.
• Baths based on geranium oil. One 7-8 drops of the main ingredient should be used per bath. You can use the oil and inside. To do this, the same amount is mixed with 100 grams of honey. Use the product on a tablespoon 3 times a day. You can wash it all with yogurt or ryazhenka. Duration of treatment is one month.

Flax seed

Alternative remedies are famous for their effective means. Not long ago, its fine properties showed flaxseed. Due to the content of fatty acids in them, they are widely used to maintain women's beauty and health. They are the building material and take an active part in the exchange processes. Flax seeds contain phytoestrogens. They are especially useful for the female body. By their structure and functionality, phytoeclogens are similar to estrogens.

The components that make up flax seeds can overcome a number of diseases, including spikes. They make up for the lack of hormones and adjust the menstrual cycle. In addition, phytoeclogens can slow the aging process and preserve beauty.

Flax seeds can be prescribed as an adjunctive therapy for ovarian cancer. There is an opinion that they can lead to breast enlargement. Seeds have a positive effect in the presence of adhesions in the fallopian tubes. Before using them, consult a physician. There is an opinion that this product can get rid of adhesions of any kind. In some cases, it helps to cope even with malignant neoplasms.

Treatment of adhesions without fail must be accompanied by the recommendations of a doctor. You can use alternative methods in this case or not, the specialist also decides. The main danger of adhesions is that they can lead to organ displacement.

[22]

Homeopathy

Homeopathic remedies are widely used to eliminate many diseases. It is impossible to resort to the help of homeopathy on your own. The fact is that homeopathic remedies do not pass clinical studies. Therefore, even despite their natural composition, the risk of developing negative reactions from the body is great.

With uterine adhesions, fluoride preparations are indicated. These include Acidum fluoricum and Calcium fluoricum. Causticum and Graphites have similar properties.

The composition contains chemicals. They can cause negative reactions from the body. It can be nausea, vomiting and headache. Therefore, the agent must be taken with extreme caution. Detailed information about a particular homeopathic remedy can be advised only by an experienced specialist.

Physiotherapy with solderings in the fallopian tubes

To remove the adhesive process, many methods are used. Physiotherapy is one of the effective ways to remove adhesions in the fallopian tubes. With its help, the connective tissue can be softened. Under the influence of physiotherapy, adhesions become tensile and thin. This therapeutic effect allows patients to achieve maximum results and permanently get rid of unpleasant sensations.

Among the most common physiotherapeutic methods are: ozocerite and paraffin applications on the abdomen. These procedures involve the use of warm paraffin. It must be applied to the affected areas. Thanks to the warming action, paraffin promotes resorption of adhesions. The course of therapy is 10 procedures. Repeated treatment is carried out after 2-3 months. It is often used electrophoresis with calcium, magnesium and zinc. The course of treatment is 20 sessions.

Massage during soldering of the fallopian tubes

Female genitalia is a very weak part of the body. They consist of connective tissue. If a woman has weak muscle contractility, scars can form on the ovaries. As a result, the ligaments are deformed, and the uterus is in the wrong position. Massage with adhesions in the fallopian tubes can restore the working capacity of all organs and systems, as well as eliminate the negative process.

Conduct this type of exposure is necessary in the gynecological chair. Naturally, massage should be done by a competent person in this matter. Only an expert is able to know the correct technique for influencing the adhesion process. When massage, the woman should move to the edge of the chair, with her legs spread and leaned on the footboard. The patient should lie quietly. If her state of health worsens, you should inform the doctor about it.

The doctor should carry out the massage of the uterus with both hands. At the same time, he spends her palpation from the side of the vagina and from the outside on the stomach. The doctor's task is to palpate the uterus from both sides. Sometimes it is necessary to have several massage sessions to achieve a positive effect. The course is selected individually. Independently to resort to such massage in no event it is impossible. The duration of the session is 5-20 minutes.

Operative treatment

In some cases, obstruction requires surgical intervention. This is done in severe cases, when drug therapy can not cope with the task. Operative treatment is aimed at removing adhesions and restoring the normal structure of the fallopian tubes. It is performed by laparoscopy, microsurgical operation and salpingography with recanalization.

A special advantage is laparoscopy. It allows not only to remove the adhesion process, but also to determine the true cause of its development. It is used to restore the normal anatomical patency of the fallopian tubes. This allows you to eliminate the main cause of infertility.

During the laparoscopy, other manipulations can be performed. Among them are: fimbriolysis, salpingolysis, salpingostomatoplasty and salpingosalpingoanastomosis. The first procedure allows to release the cilia from the fallopian tube. Salpingolysis is the cutting and removal of fused sections around the uterine tube. The procedure allows to eliminate the existing kinks and curvatures. Salpingostomatoplasty is the excision and formation of an anatomically correct opening in the fallopian tube. Finally, salpingosalpingoanastomosis allows you to remove part of the damaged area and sew the remaining parts together.

Conservative treatment after laparoscopy allows to increase the effectiveness of this procedure. The decision on surgical intervention is made by a specialist.

Laparoscopy of clasts of fallopian tubes

Laparoscopy is widely used both for diagnostics and for the elimination of adhesions. Operative intervention is the making of two small incisions on the abdominal wall. A special device is inserted into one hole - a laparoscope. This is a thin tube, at the end of which is a video camera. It allows you to transfer the image to the screen. In another section a special manipulator is inserted. It allows you to assess the condition of the organs and make an accurate diagnosis. Laparoscopy with spikes in the fallopian tubes is quite often. This method is really effective.

Laparoscopy allows not only to remove the adhesion process, but also to restore full functionality. After carrying out such an operation, a woman may well become pregnant. Laparoscopy can restore reproductive function. Qualitatively selected treatment after surgery allows the body to recover quickly.

Dissection of adhesions in the fallopian tubes

In gynecology, laparoscopy is widely used, it is performed under general anesthesia. Dissection of adhesions in the fallopian tubes is performed through incisions in the abdominal cavity. In the cuts, a special gas is introduced, which makes it possible to obtain a distinct image displayed on the screen. If more research is needed, another incision is made in the lower abdomen. As for the restoration of the reproductive function, after the operation, it comes quickly.

Laparoscopy carries certain risks. This is a surgical intervention, as a result of it there is a possibility of developing new adhesive processes. Complications can occur, but in very rare cases. Most often this applies to general anesthesia. It is enough to consult on this topic with an anesthesiologist.

The injection of the needle during surgery is performed blindly, therefore there is a risk of additional damage. The probability of such a development of events is preserved in patients who had previously performed abdominal surgery.

In gynecology, laparoscopy is prescribed after a doctor's consultation and according to his testimony. The specialist must tell about the course of the operation, possible consequences and answer the patient's questions of interest.

[23], [24], [25], [26]

Prevention

Each woman can prevent the emergence of adhesive process. Prevention includes the timely removal of inflammatory processes formed in the female genital organs. In order to avoid the development of this process, it is necessary to visit gynecological examinations on a timely basis and take tests.

The existing infection, even insignificant, should immediately be cured. If the process is started, there is a risk of aggravation of the situation. Infection is able to pass into a chronic form and provoke the development of negative consequences.

It is recommended to avoid accidental sexual intercourse and unprotected sex. Maintaining the immune system of a woman at a high level will allow her to resist many viruses and infections. Bacteria, getting into the body, cause him serious harm.

It is necessary to revise the methods of contraception. Intra-mast spirals can injure the mucous membrane and lead to the development of adhesions. Protected sexual acts will avoid unwanted pregnancies and as a consequence of this abortion. Scraping the fetus is a trauma to the uterus, the mucous membrane is not capable of regeneration, which will eventually lead to an adhesion process. All this shows that the life and health of a woman is exclusively in her hands.

Forecast

After surgery, the fallopian tube returns to normal. The forecast in this case is favorable. Conception and normal course of pregnancy are possible with the full restoration of the reproductive function of the patient. The further condition directly depends on the complexity of the adhesive process and the overall condition of the fallopian tubes. There are cases when the epithelium can not be restored. This entails the impossibility of pregnancy and as a consequence of this, an unfavorable prognosis.

Conception, which occurred after the restoration, without fail is controlled by the attending physician. After all, the risk of spontaneous abortion or the occurrence of an ectopic pregnancy is quite high. The specialist should immediately track the location of the fetal egg. For a favorable course of pregnancy, patients are recommended to use hormonal drugs. It is necessary to plan conception after removal of adhesions, because there is a possibility of formation of new adhesive processes.

[27], [28], [29], [30], [31]