{"id":10689,"date":"2021-09-13T10:31:38","date_gmt":"2021-09-13T10:31:38","guid":{"rendered":"https:\/\/www.ginefiv.com\/sin-categorizar\/lobstruction-des-trompes-description-causes-et-traitements\/"},"modified":"2025-01-25T14:33:15","modified_gmt":"2025-01-25T14:33:15","slug":"lobstruction-des-trompes-description-causes-et-traitements","status":"publish","type":"post","link":"https:\/\/www.ginefiv.com\/fr\/blog\/lobstruction-des-trompes-description-causes-et-traitements\/","title":{"rendered":"L\u2019obstruction des trompes\u00a0: description, causes et traitements"},"content":{"rendered":"

L\u2019obstruction des trompes <\/span>est l\u2019une des principales <\/strong>causes d\u2019infertilit\u00e9 f\u00e9minine<\/strong>. En effet, pour qu\u2019une femme tombe enceinte, les <\/span>trompes de<\/strong> Fallope<\/strong> doivent \u00eatre en bon \u00e9tat afin que l\u2019union entre le spermatozo\u00efde et l\u2019ovule puisse avoir lieu. On estime que <\/span>24% des cas d\u2019infertilit\u00e9 f\u00e9minine sont li\u00e9s \u00e0 une alt\u00e9ration des trompes<\/strong>.\u00a0<\/span><\/p>

<\/p>

En plus d\u2019\u00eatre perm\u00e9ables, les trompes doivent avoir une bonne mobilit\u00e9. Apr\u00e8s l\u2019ovulation, \u00e0 l\u2019aide de mouvements d\u2019aspiration, elles doivent pouvoir capturer l\u2019ovocyte qui se trouve dans la cavit\u00e9 p\u00e9riton\u00e9ale afin qu\u2019il puisse rencontrer le spermatozo\u00efde.\u00a0<\/span><\/p>

Obstruction des trompes de Fallope<\/h2>

\u00a0
Voici les <\/span>causes les plus fr\u00e9quentes de l\u2019obstruction des trompes<\/strong>.\u00a0<\/span><\/p>

Salpingite<\/strong><\/h3>

\u00a0
La salpingite est <\/span>une inflammation des trompes de Fallope <\/strong>qui remonte le long du vagin et de l\u2019ut\u00e9rus. Une telle inflammation peut \u00eatre caus\u00e9e par une maladie sexuellement transmissible (gonorrh\u00e9e ou chlamydia) mais \u00e9galement par la propagation d\u2019une infection touchant d\u2019autres organes, tel que l\u2019appendice.\u00a0<\/span><\/p>

Les trompes sont des conduits fins et d\u00e9licats c\u2019est pourquoi en cas d\u2019infection, elles sont endommag\u00e9es et s\u2019obstruent.\u00a0<\/span><\/p>

L\u2019obstruction des trompes peut \u00e9galement \u00eatre provoqu\u00e9e par l\u2019apparition d\u2019adh\u00e9rences \u00e0 la suite d\u2019une chirurgie pelvienne ou \u00e0 la suite de pathologies telles que <\/span>l\u2019endom\u00e9triose<\/span>.\u00a0<\/span><\/p>

Hidrosalpinx<\/strong><\/h3>

\u00a0
Il s\u2019agit d\u2019une obstruction des trompes, localis\u00e9e <\/span>au niveau de structures particuli\u00e8res appel\u00e9es les franges.<\/strong>\u00a0<\/span><\/p>

Les franges sont des formations d\u2019aspect filamenteux situ\u00e9es aux extr\u00e9mit\u00e9s des trompes de Fallope.<\/strong> Une fois sorti de l\u2019ovaire, les franges <\/span>permettent \u00e0 l\u2019ovule d\u2019atteindre la trompe<\/strong>, o\u00f9 il sera f\u00e9cond\u00e9 par un spermatozo\u00efde, avant de voyager au cours la division cellulaire jusqu\u2019\u00e0 l\u2019ut\u00e9rus o\u00f9 il s\u2019implantera sous la forme d\u2019embryon. Les franges sont constitu\u00e9es de cellules d\u00e9licates, elles m\u00eame dot\u00e9es de cils mobiles qui <\/span>transportent l\u2019ovule et les spermatozo\u00efdes afin qu\u2019ils puissent se rencontrer<\/strong>. Si elles sont abim\u00e9es, ces franges vont se souder entre elles, provoquant ainsi la disparition des cellules d\u00e9licates qui les composent. De ce fait, du liquide va s\u2019accumuler dans le circuit ferm\u00e9 de la trompe et celle-ci va perdre son pouvoir nutritif.\u00a0<\/span><\/p>

L\u2019hidrosalpinx est g\u00e9n\u00e9ralement caus\u00e9 par une infection<\/strong>. La chlamydia et la gonorrh\u00e9e sont les infections les plus fr\u00e9quentes et peuvent ne pas \u00eatre d\u00e9tect\u00e9es durant plusieurs ann\u00e9es, endommageant et d\u00e9truisant ainsi ces franges d\u00e9licates. <\/span>Le st\u00e9rilet, l\u2019endom\u00e9triose et la chirurgie abdominale sont \u00e9galement responsables de ce probl\u00e8me.<\/strong><\/p>

Pyosalpinx<\/strong><\/h3>

\u00a0
Le pyosalpinx <\/span>d\u00e9signe une inflammation aigue des trompes, bouch\u00e9es par la pr\u00e9sence de pus<\/strong>. Dans certains cas, l\u2019infection dispara\u00eet gr\u00e2ce \u00e0 la prise <\/span>d\u2019antibiotiques<\/strong>, se transformant ainsi en hidrosalpinx. Cas \u00e9ch\u00e9ant, les trompes peuvent se rompre et provoquer un abc\u00e8s dans cavit\u00e9 pelvienne.\u00a0<\/span><\/p>

Obstruction cong\u00e9nitale des trompes\u00a0<\/strong><\/h2>

\u00a0
D\u00e8s la naissance<\/strong>, les trompes peuvent \u00eatre abim\u00e9es. On parlera alors d\u2019obstruction cong\u00e9nitale ou blocage cong\u00e9nital des trompes.\u00a0<\/span><\/p>

Ligature volontaire des trompes<\/strong><\/h2>

\u00a0
Si vous avez r\u00e9alis\u00e9 une <\/span>ligature des trompes<\/strong> afin d\u2019\u00e9viter une grossesse, ces derni\u00e8res seront \u00e9videmment obstru\u00e9es.\u00a0<\/span><\/p>

Diagnostic et traitement de l\u2019obstruction des trompes<\/h2>

\u00a0
Par chance, certaines techniques telles que l\u2019hyst\u00e9rosalpingographie (HSG), la sono-hyst\u00e9rosalpingographie (<\/span>HyCoSy) ou la laparoscopie nous aident \u00e0 diagnostiquer les pathologies affectant les trompes alors qu\u2019il y a quelques ann\u00e9es, ceci \u00e9tait plus difficile. Op\u00e9rer la patiente dans le but d\u2019am\u00e9liorer l\u2019\u00e9tat des trompes obstru\u00e9es ne permettait pas d\u2019obtenir de r\u00e9sultats satisfaisants. \u00c9tant donn\u00e9 qu\u2019il s\u2019agit d\u2019organes tr\u00e8s fins et d\u00e9licats, il \u00e9tait tr\u00e8s difficile de les d\u00e9sobstruer afin qu\u2019elles fonctionnent de mani\u00e8re correcte.<\/span><\/p>

De nos jours, gr\u00e2ce aux<\/span> techniques<\/span> de<\/span> f\u00e9condation in vitro<\/strong>, il n\u2019est conseill\u00e9 d\u2019op\u00e9rer qu\u2019en cas d\u2019ablation d\u2019un hidrosalpinx observ\u00e9 pendant une \u00e9chographie.<\/span><\/p>

Si vous souffrez d\u2019une obstruction des trompes, consultez votre sp\u00e9cialiste afin de conna\u00eetre<\/span> le<\/strong> traitement qui vous permettra de tomber enceinte.<\/strong><\/p>","protected":false},"excerpt":{"rendered":"

L\u2019obstruction des trompes est l\u2019une des principales causes d\u2019infertilit\u00e9 f\u00e9minine. En effet, pour qu\u2019une femme tombe enceinte, les trompes de…<\/p>\n","protected":false},"author":11,"featured_media":10690,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[3],"tags":[],"class_list":["post-10689","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-non-classifiee"],"acf":[],"yoast_head":"\nL\u2019obstruction des trompes\u00a0: description, causes et traitements | Ginefiv Espa\u00f1a<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ginefiv.com\/fr\/blog\/lobstruction-des-trompes-description-causes-et-traitements\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"L\u2019obstruction des trompes\u00a0: description, causes et traitements | Ginefiv Espa\u00f1a\" \/>\n<meta property=\"og:description\" content=\"L\u2019obstruction des trompes est l\u2019une des principales causes d\u2019infertilit\u00e9 f\u00e9minine. 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