Infertility and Adhesions
Pelvic adhesions, often caused by infection, endometriosis, or surgery, are a significant factor in tubal factor infertility, accounting for 40% of female infertility cases.
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This chapter reviews how pelvic adhesions contribute to infertility, particularly tubal factor infertility, and discusses identifiable sources including postinfectious tubal damage, endometriosis-related adhesions, and postsurgical adhesion formation. It surveys diagnostic and prognostic approaches for tubal pathology—such as salpingoscopy/tuboscopy (visualizing the tube mucosa) and related classification systems—to connect tubal adhesions or distal occlusion with fertility outcomes. A key caveat is that the chapter is largely a synthesis of prior studies and does not present new original data, so conclusions depend on the heterogeneity and limitations of the cited evidence. Relevance to endometriosis: the chapter explicitly cites endometriosis-related adhesions as a cause of tubal factor infertility and includes studies of salpingoscopy in endometriosis-associated infertility, though the work’s broader focus is pelvic adhesions and infertility across etiologies rather than endometriosis alone.
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Cites (3)
- Falloposcopic classification and treatment of fallopian tube lumen disease 1992
- Fimbrioscopy and salpingoscopy in patients with minimal to moderate pelvic endometriosis. 1990
- Salpingoscopy in patients with endometriosis-associated infertility. 1992
Cited by (1)
References (24)
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