Luminal Diameter and Wall Thickness of Fallopian Tubes of Various Contraceptive Users (Oral and IUCD) in Northern Zone of Bangladesh

Abstract

Background: The Fallopian tube is the muscular tube like structure that makes the communication between the uterus and the ovary. It is the commonest cause of the infertility and inflammatory diseases. Methods: This cross-sectional type of descriptive study was conducted over a period of 1 year from July 2022 to June 2023 in the Department of Anatomy, Rajshahi Medical College Hospital, Rajshahi on 195 Fallopian tubes which were under contraceptive use for at least last 6 months or discontinued it within the last 3 months. Then luminal diameter and thickness of the wall of the tube were measured and documented in a semi-structured questionnaire. Data were analyzed by SPSS software (version 24.0). Results: The study revealed that among 195 Fallopian tubes, 165 (84.60%) were under oral pill and remaining 30 (15.40%) were under intrauterine contraceptive device (IUCD). Mean luminal diameter and wall thickness of Fallopian tube of oral contraceptive pill users were 1.18±0.09 mm and 629.82±66.39 µm, respectively. On the other hand, mean luminal diameter and wall thickness of Fallopian tube of intra-uterine contraceptive device users were 1.29±0.17 mm and 716.33±23.23 µm, respectively. Luminal diameter and wall thickness were significantly higher in IUCD users than oral pill users (p < 0.001 and p < 0.001, respectively). Conclusion: Even though contraceptive use is safe but their use might slightly increase the risk of health problems. So, precaution must be taken during contraceptive use.