Hysteroscopy in Tubal Disease

Abstract

Tubal disease is an important cause of infertility, responsible for 25–35% cases of female causes of infertility. Tubal disease can be unilateral or bilateral. It may present as proximal, midsegment or distal obstruction, or a combination of them. Proximal tubal obstructions can be treated with hysteroscopy and tubal cannulation avoiding need of IVF. Treatment of hydrosalpinx through hysteroscopic placement of Essure can improve natural fertility and success rates of IVF in women not fit for laparoscopic treatment. Hysteroscopic guidance for laparoscopic tubal recanalization surgeries is possible to make endosuturing easier.