Minor tubal defects - The unnoticed causes of unexplained infertility

Abstract

Objective: To review whether detailed videolaparoscopic evaluation of so called unexplained infertility can find out certain causes and laparoscopic corrective techniques can alleviate them. Methods: From 1998 to 2007, 1726 cases of unexplained infertility were investigated by laparoscopy at Repose Fertility Clinic, Kolkata. 846 minor tubal defects were detected. Results: According to our observation tubal defects were classified into six categories. Most of them belonged to combined aetiology. Conclusion : Different laparoscopic surgical techniques to restore structural and functional integrity of fallopian tubes may be useful in achieving pregnancy in many cases of so called unexplained infertility.