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.
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