Evidence-based diagnosis and management of tubal factor infertility

  title={Evidence-based diagnosis and management of tubal factor infertility},
  author={Pinar H. Kodaman and Aydın Arıcı and Emre Seli},
  journal={Current Opinion in Obstetrics and Gynecology},
Purpose of review The investigation for potential tubal disease is an essential step in the work-up of infertility. This review article provides an evidence-based overview of the diagnosis and management of tubal factor infertility. Recent findings While laparoscopic chromopertubation remains the gold standard in the diagnosis of tubal disease and hysterosalpingography is still widely used, newer modalities offer some advantages. Sonohysterography with the use of contrast medium is superior to… 

Role of hysterolaparoscopy for the evaluation of primary infertility: An experience from a tertiary care hospital

Milder degree of distal fimbrial pathology, endometriosis, and pelvic adhesions can be diagnosed and treated at the same time which was missed during a routine trans vaginal ultrasonography.

Evaluation of tubal and peritoneal factors in chlamydia positive infertile women by laparoscope

Chlamydia serology is useful mainly as a screening test for the likelihood of tubal damage in infertile women and may facilitate decisions on which women should proceed with further investigations without delay.


Novel minimal access surgical procedures have been shown to play not only a preventive but also a curative role in tubo-peritoneal infertility as well as other forms of infertility, and the need to overview the path covered this far and ponder on future orientations can not be over emphasized.

Infertility evaluation via laparoscopy and hysteroscopy after conservative treatment for tubal pregnancy.

It is suggested that conservative-medical treatment was more effective than surgical treatment in preventing pelvic adhesion and in patients with a history of a tubal pregnancy, it may be less likely to compromise future reproductive function forconservative-medical treated patients than that for conservative-surgery treated patients.

Tubal disease: towards a classification.

  • V. Akande
  • Medicine
    Reproductive biomedicine online
  • 2007

Role of Combined Hysteroscopy and Trans-Vaginal Ultrasound in Evaluation of Tubal Patency in Infertile Women of Combined Hysteroscopy Trans-Vaginal in

The study showed that the best cut off point of the fluid volume in Douglas pouch after hysteroscopy at which 1 or 2 tubes are patent is six ml with sensitivity of 91.9% and specificity of 66.7percent.

Impact of unilateral tubal blockage diagnosed by hysterosalpingography on the success rate of treatment with controlled ovarian stimulation and intrauterine insemination

  • B. BerkerY. E. Şükür C. Ateş
  • Medicine
    Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology
  • 2014
In conclusion, IVF instead of IUI may be a more appropriate approach for distal unilateral tubal blockage patients.

The pattern of hysterosalpingographic findings in women being investigated for infertility in Nnewi, Nigeria.

The pattern of hysterosalpingographic findings among women being investigated for infertility in Nnamdi Azikiwe University Teaching Hospital Nnewi, Nigeria over a period of five years is reviewed.

Factors affecting the success of fallopian tube recanalization in treatment of tubal obstructive infertility

It is suggested that risk factors, such as age ≥35 years, secondary infertility, duration of infertility ≥5 years, and histories of ectopic pregnancy, abdominal surgery, and artificial abortion curettage, affect the success rate of FTR.

[Laparoscopy in the decision of treatment strategy for the infertile couple].

The laparoscopy demonstrated its diagnostic and therapeutic relevance, proving to have fundamental importance for the clarification of the tuboperitoneal status and has permitted the development of concomitant accessory therapeutic procedures, thus defining the best treatment strategy for the infertile couples.



Techniques for pelvic surgery in subfertility.

There is no evidence of benefit or disadvantage of tubal surgery versus no treatment or alternative treatments, and the role of operative laparoscopy to perform infertility surgery is evaluated.


The prognostic value of salpingoscopy during operative laparoscopy for tubal factor infertility in terms of reproductive outcome has been confirmed and the prognostic significance of microsalpedoscopy needs further validation in large‐scale clinical trials.

The prognostic role of salpingoscopy in laparoscopic tubal surgery.

It is suggested that patients with tubal infertility should be offered operative laparoscopy with salpingoscopy as the first step of treatment.

Therapeutic strategies in tubal infertility with distal pathology.

It is concluded that a short delay after surgery, averaging 6 months to 1 year, before involving patients in IVF, is very important.

Technical results of falloposcopy for infertility diagnosis in a large multicentre study.

It was concluded that the method currently qualifies for selected indications rather than for routine clinical application, confirming the importance of these factors.

Hysterosalpingo-contrast sonography of the uterus and fallopian tubes: results of a clinical trial of a new contrast medium in 120 patients.

The feasibility, diagnostic efficacy, and patient tolerance of a new diagnostic modality, hysterosalpingo-contrast sonography (HyCoSy), were evaluated in a clinical study of 120 patients with