Tubal Factor Infertility: Laparoscopy or IVF?

摘要

Tubal factor infertility resulting from various forms of tuboperitoneal damage remains an extremely common cause of female infertility, accounting for more than 35% of all cases of female infertility. Cornual occlusion, distal occlusion, peritubal disease with or without ovarian involvement and multifocal disease are included in the spectrum of tubal pathology, that disrupt not only the anatomic integrity but also the functional capacity of the fallopian tubes.Tubal factor infertility may be diagnosed with hysterosalpingography (HSG), transvaginal ultrasound (TVS), hydrosonography, laparoscopy, salpingoscopy, hydrolaparoscopy, chlamydia serology and MRI. Laparoscopy is the gold standard method for diagnosing tubal disease but salpingoscopy is also is also essential part of diagnostic and prognostic evaluation of the tubal mucosa, especially in cases of hydrosalpinx.