Fluoroscopic tubal recanalization in tubal factor related infertility.

Knuttinen MG, Jajko R, Scoccia B
Seminars in interventional radiology · 2014 · doi:10.1055/s-0034-1382797 · PMID:25177090 · PMC4139428
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This paper examines fluoroscopic tubal recanalization as a treatment for infertility caused by tubal factor, which is the most common cause of female infertility.

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This review article examines fluoroscopic tubal recanalization as a treatment for infertility caused by tubal factor issues, which represent the most common cause of female infertility. The text notes that tubal adhesive or occlusive disease and peritoneal adhesions are typically due to prior pelvic inflammatory disease or endometriosis, while proximal tubal occlusion can also result from salpingitis isthmica nodosa. The paper outlines the role of fallopian tubes in capturing oocytes and transporting sperm and embryos, highlighting how dysfunction at this stage contributes to conception difficulties. Relevance to endometriosis: endometriosis is cited as a primary etiology for the tubal adhesive or occlusive disease that this procedure aims to treat.

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Subscribe to RSS DOI: 10.1055/s-0034-1382797 Fluoroscopic Tubal Recanalization in Tubal Factor Related Infertility Authors Publication History Publication Date: 20 August 2014 (online) Infertility is defined as the inability to conceive after 1 year of unprotected intercourse, a definition that is based on a monthly fecundity rate of 15 to 25%. Approximately 10 to 20% of couples may experience problems conceiving, and infertility can result from a wide variety of etiologies. Female factors account for 40% of infertility.[1] When investigating infertility, evaluation of both the male and female partner is warranted, as the likelihood of both partners having impaired fertility is relatively high.[1] Dysfunction of the female reproductive process can occur at any of the following steps to cause infertility: - Ovarian factor: the ovaries need to produce a mature oocyte. - Cervical factor: the cervix needs to capture and transport sperm into the uterus and fallopian tubes. - Uterine factor: the uterus needs to allow the embryo to implant. - Tubal factor: the fallopian tubes need to capture the ovulated oocyte and transport sperm and embryo. Tubal factor fertility accounts for the most common cause of female infertility ([Fig. 1]). Tubal adhesive or occlusive disease and peritoneal adhesions are typically due to either prior pelvic inflammatory disease or endometriosis. Another less common cause of proximal tubal occlusion is salpingitis isthmica nodosa.[1] [2] - References - 1 Scoccia B, Ryden J. Infertility. In: Ryden J, Blumenthal PD, , eds. Practical Gynecology, 2nd ed. Philadelphia, PA: American College of Physicians Press; 2008 - 2 Practice Committee of American Society for Reproductive Medicine. Diagnostic evaluation of the infertile female: a committee opinion. Fertil Steril 2012; 98 (2) 302-307 - 3 Thurmond AS, Rösch J. Nonsurgical fallopian tube recanalization for treatment of infertility. Radiology 1990; 174 (2) 371-374 - 4 Thurmond AS, Machan LS, Maubon AJ , et al. A review of selective salpingography and fallopian tube catheterization. Radiographics 2000; 20 (6) 1759-1768 - 5 CDC/ASRM/SART. 2011 Assisted Reproductive Technology National Summary Report. Atlanta, GA: US Dept. HHS; 2013

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