Which are the symptoms?
The main symptom is the inability to achieve a pregnancy.
- pelvic pain
- intermenstrual bleeding
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.