Fallopian Tubes Blockage And Fertile Women'S Adenomyosis: The Determination Of Adenomyosis Through Surgical Interventions

Objectives: To find out Adenomyosis in twenty-three infertile women after passing them through a surgery and to carry out a microscopic examination of tissue for any disease. Methodology: Twenty-three infertile women were passed through a surgery to observe the uterine fibroids—an abnormal growth of women uterus at Services Hospital, Lahore (Gynecology Dept) from September 2015 to January 2016. Results: The women passing through the surgery were of age 26 – 47 with an average age of 37.3 years. Five patients with a percentage of 21.7% had a successful delivery before. Eighteen patients with a percentage of 78.3% had gone through abortion and 21.7% were facing the problem of primary infertility. Previous gynecological methods were based on dilatation and surgical scraping or cleaning or by using a suction aspiration to remove the uterine contents in seventeen patients, myomectomy was found in 5 patients, adhesiolysis for uterine synechiae in 3 patients. Two patients with bilateral tubal patency were suffering from Preoperative hysterosalpingogram. Only seventeen were having bilateral tubal blockage.4 were suffering from Unilateral patency of the fallopian tube. Fifteen out of seventeen amongst those with bilateral tubal blockage were facing with corneal blockages. According to the modes of clinical presentation different cases were having different percentages. The abdominal and pelvic mass was 100%, dysmenorrhea or menstrual cramps 82.6%, excessive menstrual discharge 60.9%, pain during sexual intercourse was in 47.8% and uterine bleeding at irregular intervals in 34.8%. Thirteen patients having diffuse adenomyosis were observed to be Intra-operatively adenomyosis, 7 were facing with multiple focal adenomyosis and 3 with unifocal adenomyosis. Seventeen out of twenty-three patients were found to be suffering with Co-existing uterine fibroid. Co-existing endometriosis were found in 2 patients. It was found during surgery that only 7 patents were having significant pelvic adhesion. Conclusion: Blockage of the fallopian tubes has association with adenomyosis in infertile women and also has a relation with leiomyomas –a noncancerous growth of the uterus.