A pyosalpinx is one of the features of pelvic inflammatory disease and refers to the presence of pus in one of the fallopian tubes occurring as a consequence of an infection in the reproductive tract. Too much increase in pus within the fallopian tubes makes it swollen. The ramifications of this condition are important and include tubal infertility and ectopic pregnancy. Infections may start in the vagina and progress up to the cervix, uterus and to one or both fallopian tubes. The most common causative microorganisms are Chlamydia trachomatis, Neisseria gonorrhea, and microorganisms associated with bacterial vaginosis. These bacteria go into the reproductive system during abortion process, using intrauterine devices or childbirth process. Initially, infection starts within vagina but it affects uterus and fallopian tubes within short time.

Associated disease

Complications

The most dangerous complication is crack of the oviduct, with growth of pelvic peritonitis and later of diffuse peritonitis.

Risk factors

Tubal factor infertility accounts for nearly one-quarter of all cases of infertility. Pyosalpinx prevent sperm from travelling towards an egg, thus making pregnancy impossible. The evaluation of the fallopian tube is necessary to determine the management plan of infertility. A number of diagnostic tests are being used in clinical practice to assess tubal patency as part of the work-up for subfertility.

To reduce your risk of pelvic inflammatory disease. Efforts to prevent the disease include not having sex or having few sexual partners and using condoms.

Chinese Medicine

Traditional Chinese Medicine (TCM) have been effectively used to treat pyosalpinx. The method of using Fuyan Pill, with the effect of clearing away heat and toxic material, can kill various bacteria.
Pyosalpinx can be treated conservatively with antibiotic treatment but surgical intervention in the form of salpingectomy might be required.

Pharmacotherapy

Pyosalpinx is most commonly treated with antibiotics.

Surgical therapy

Tubal cannulation - it is a surgical procedure where a thin catheter is advanced through the proximal portion of the fallopian tube os to examine and possibly restore tubal patency.

ART (IVF-ICSI) can be used as an effective treatment for tubal infertility.  IVF bypasses fallopian tube blockage by extracting the eggs directly from the ovary and fertilizing them in the laboratory. The embryos are then placed directly into the uterus.

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