Selective Salpingography and Fallopian Tube Interventions: An Educational Poster

Abstract

Fallopian tube disease is a major cause of infertility. Hysterosalpinogram and selective salpingography may reveal the underlying pathology. Fallopian tubes recanalization or embolization may help improving the pregnancy rate in cases of tubes obstruction or hydrosalpinx, respectively. Fallopian Tube Recanalization: Obstruction of the uterine (proximal) segment of the fallopian tube can be seen in 10-20% of hysterosalpingograms and has a variety of underlying causes. Selective salpingography and fallopian tube recanalization may improve pregnancy rate by 15-60% within one year. Fallopian Tubes Embolization: Hydrosalpinx accounts for 10-30% of tubal pathologies in patients with secondary infertility, and it may affect the outcome of in vitro fertilization by reducing the probability of implantation and by increasing the risk of early pregnancy loss. While tubal embolization may not increase the rate of pregnancy, it may reduce the risk of abortion.