Minor tubal defects — The unnoticed causes of unexplained infertility

Objective To review whether detailed videolaparoscopic evaluation of so called unexplained infertility can find out certain causes and laparoscopic corrective techniques can alleviate them. Methods From 1998 to 2007, 1726 cases of unexplained infertility were investigated by laparoscopy at Repose Fertility Clinic, Kolkata. 846 minor tubal defects were detected. Results According to our observation tubal defects were classified into six categories. Most of them belonged to combined aetiology. Conclusion Different laparoscopic surgical techniques to restore structural and functional integrity of fallopian tubes may be useful in achieving pregnancy in many cases of so called unexplained infertility.