Treatment of Tubal Factor Infertility
There are 4 primary treatment types for tubal factor infertility:
- IVF-treatment of choice if bilateral
- Unless religious, ethical or financial restrictions
- Sterilization reversal
- Conception rates 45-82% after microsurgical reversal
- Risk for ectopic higher
- Distal tubal obstruction repair-separate and correct fimbria
- Results depend on severity of disease-if mild, consider surgery
- If severe, IVF logical choice
- Proximal tubal obstruction
- Segmental resection and anastomosis is surgical tx. Outcomes vary.
