Comparative histological study of fallopian tube in pre and post-menopausal women in tertiary care center of Bihar: An observational and prospective study

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Original Article

Author Details : Javed Alam, Md Jawed Akhtar, Binod Kumar*, Rajiv Ranjan Sinha, Avanish Kumar

Volume : 7, Issue : 3, Year : 2020

Article Page : 253-258

https://doi.org/10.18231/j.ijcap.2020.050

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Abstract

Introduction: Infertility an on-going reproductive problem and tubal pathologies are considered as leading
causes. Ectopic pregnancy (tubal), salpingitis, genital tuberculosis are serious and very common fallopian
tubal pathologies in women of reproductive age group which incidence have been increased in past
few decades. Better understanding of fallopian tube anatomy, physiology, function and sperm epithelial
interaction is a necessity and also nature of epidemiology and histological pattern is important.
Materials and Methods: Observational and prospective study done on randomly selected 150 females
either pre-menopause and post-menopause. Their fallopian tubes as specimen were collected with greatest
care and precautions either from Obstetrics & Gynaecology or Pathology Department of IGIMS, Patna.
Samples were processed in Histology section of the Department of Anatomy, IGIMS, Patna. The slides
were studied under the compound microscope. Data collected from this study was presented in tabular
form. Statistical analysis was done using Microsoft Excel Software.
Results: Patients were mostly reproductive age group, 26-30 years (26%) and 31-35 years (20.6%) and
most of them had completed their family and desired to have contraception mostly tubal ligation. 40
years and above age group patients had menopause and were mostly complaint of dysfunctional uterine
bleeding. Samples received by hysterectomy with B/L Salpingo-oophorectomy (43.3%), B/L tube ligation
with caesarean section (43.3%), U/L Salpingo-oophorectomy (7.3%), B/L tube ligation (6%). In most of
these cases the fallopian tubes were normal. In pre-menopausal patients most of the samples were obtained
during pregnancy (63.02%) because caesarean section with or without tube ligation was very common.
Followed to interval phase (21.70%) of menstrual cycle because it was the most preferred stage for any
planned gynaecological surgery. 11 Premenopausal women while 6 post-menopausal women gave the
history of I.U.C.D use during their reproductive years. Patients with past history of oral contraceptives
and those with present history of its use in both young and old women.
Conclusions: This study concluded that the histology of fallopian tube was normal and the results were
consistent with previous similar studies. Histological examination of fallopian tube was normal despite
of any past history of IUCD or OCP use or different phases or cyclical changes of menstrual cycle in
pre-menopausal women.

Keywords: Fallopian tube, Histology, Intra-Uterine Contraceptive Device (IUCD), Oral Contraceptive Pills (OCP).

How to cite : Alam J , Akhtar M J , Kumar B , Sinha R R, Kumar A , Comparative histological study of fallopian tube in pre and post-menopausal women in tertiary care center of Bihar: An observational and prospective study. Indian J Clin Anat Physiol 2020;7(3):253-258

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