Proximal Tubal Disease

Ya Qiong Chen, Hai Yan Hou, Tin Chiu Li
In: Reproductive Surgery in Assisted Conception · 2015 · pp. 15–25 · doi:10.1007/978-1-4471-4953-8_2 · W970702012
book-chapter OA: closed CC0
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-07 ⓘ

Laparoscopy-guided hysteroscopic tubal cannulation for proximal tubal block shows a 38% pregnancy rate and is an effective treatment option alongside IVF.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This chapter reviews proximal tubal disease as a cause of tubal infertility (estimated 10–25%) and discusses evaluation and treatment options, focusing on high-level approaches such as hysteroscopy and laparoscopy with chromopertubation (HLC) to assess uterine cavity integrity and tubal status. It describes tubal surgery and in-vitro fertilisation (IVF) as two treatment options, noting that success of surgical treatment depends on careful case selection and that tubal cannulation should be attempted before tubal anastomosis. It reports that laparoscopic guided hysteroscopic tubal cannulation (LHTC) for proximal tubal block has an overall pregnancy rate around 38%, and states that LHTC and IVF are both effective in women with proximal tubal block. This paper is centrally about endometriosis only as a cited underlying cause of proximal tubal damage alongside PID and pelvic/abdominal surgery, and it therefore has relevance to endometriosis via that etiologic connection.

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last seen: 2026-06-10T17:14:06.276822+00:00
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