Scarred fallopian tubes may not present with symptoms, but can result in infertility. Mild or severe abdominal pain may be present, and a hysterosalpingography can diagnose tubal scarring. Pain can differ depending on the cause of the scar.
In many cases, women with scarred fallopian tubes are unaware that they have the condition, which doesn’t always present with symptoms. The first indication of a problem may arise when a woman is trying to conceive, because having two blocked fallopian tubes tends to result in infertility; it is possible, though perhaps more difficult, to conceive when only one tube is blocked by scarring. Some women, however, notice mild pain, on one or both sides of the abdomen. Severe pain is another possible symptom of damaged fallopian tubes and can be worse during menstruation.
For many women, the first sign of scarring of the fallopian tubes is infertility. There are several causes of infertility, so women who suspect a problem are advised to see a doctor, who can use a hysterosalpingography (HSG) to diagnose tubal scarring. An HSG involves a doctor injecting dye into the cervix; the dye should enter the uterus, through the fallopian tubes and into the ovaries. If the dye only gets to one ovary, that’s an indication that one tube is likely scarred, while dye that doesn’t get to either ovary is an indication that both tubes may be scarred. In most cases, women suffering from infertility attributed to tubal scarring have two scarred fallopian tubes, because it is possible to get pregnant with only one functioning tube.
Some women with scarred fallopian tubes notice mild but constant abdominal pain. If only one tube is blocked, the pain may only show on one side of the abdomen, but it can show through the entire lower abdominal area when both tubes are blocked. Patients are warned that various problems can cause mild abdominal pain, so it’s usually best to see a doctor before assuming that scarring on the fallopian tubes is to blame.
A small percentage of women who experience scarred fallopian tubes only occasionally notice abdominal pain, but when it does occur, it is severe. Like mild, intermittent pain, severe discomfort can occur on one or both sides, depending on whether both fallopian tubes are scarred. In many cases, this type of pain gets worse during menstruation and may go away for the rest of the month. In general, the pain of blocked fallopian tubes tends to differ depending on the cause of the scar. For example, when caused by pelvic inflammatory disease (PID), the pain most often occurs during menstruation, while scarring caused by an infection tends to cause pain especially during sexual intercourse.
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