Tubal pathology

What is it?

Tubal pathology is defined as the spectrum of abnormalities in the morphology and/or function of one or both fallopian tubes. This condition can be the cause of female infertility as it prevents or makes it more difficult for the spermatozoa to reach the oocyte and for the embryo to reach the uterus. Previous pelvic infections, tubal surgery, or endometriosis are major risk factors for tubal dysfunction.

Which are the symptoms?

The main symptom is the inability to achieve a pregnancy. 

  • pelvic pain
  • intermenstrual bleeding
  • infertility
  • fever
  • dysmenorrhoea
  • dyspareunia

How is it diagnosed?

In case of suspected tubal pathology the initial diagnostic tests are sonohysterosalpingography or possibly hysterosalpingography. If risk factors are present or in cases where diagnostic doubts remain, a laparoscopy with salpingochromoscopy is performed. 

How is it treated?

Treatment involves laparoscopic surgery under general anesthesia. During the procedure, pelvic adhesions can be lysed, or, in the case of pelvic endometriosis, these can be cauterized or treated by laser. In case of tubal pathology in women who are candidates for assisted fertilization treatments, the treatment generally involves the removal of the pathological tube. This treatment increases the chances of pregnancy. Assisted reproductive techniques are often necessary for women with infertility due to tubal pathology.

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