Role of tubal block in infertility treatment

Tubal block has to be evaluated if ovulation and semen analysis are normal.

Those who are at risk of tubal block are

● Pelvic inflammatory disease

● Endometriosis

● Ectopic pregnancy

● Prior pelvic surgery

Common tests available for checking tubal patency are

● HSG(Hysterosalpingography)which has low sensitivity

● Laparoscopy and chromopertubation which is the gold standard

● Sonohysterosalpingography

Management of tubal factor infertility

Unilateral proximal tubal occlusion: ovarian stimulation with iui

Tubal sterilisation: recanalisation or tubal reanastomosis

Proximal tubal disease: hysteroscopic cannulation

Distal tubal block: IVF

Bilateral tubal block and hydrosalpinx: IVF