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Fallopian Tube Reconstruction Workup

  • Author: Krystene B DiPaola, MD; Chief Editor: Richard Scott Lucidi, MD, FACOG  more...
Updated: May 13, 2014

Laboratory Studies

Male factors

See the list below:

  • Men account for 30-40% of infertility in couples.
  • Problems typically include low semen volume, decreased sperm concentration and/or motility, and abnormal sperm morphology.
  • Semen analysis is necessary.

Female factors

In some women, ovulatory problems are a cause of infertility. Ovulatory function tests can help determine ovulatory function. Adequate ovulatory function can be confirmed with the following:

  • Normal regular menstrual cycles
  • Day 3 follicle-stimulating hormone level within the reference range
  • Anti-mullerian hormone level
  • Midluteal-phase serum progesterone measurement confirmatory of ovulation

Papanicolaou test (Pap smear) results must be normal.

Cervical culture results (eg, C trachomatis, N gonorrhea) must be negative.


Imaging Studies

Hysterosalpingography may be used to determine the presence of proximal fallopian tubes.

When necessary, saline sonography further defines abnormalities of the uterine cavity.


Other Tests

Basal body temperature charting can help identify female ovulatory factors.


Diagnostic Procedures


  • This procedure helps to (1) evaluate the amount of pelvic adhesions and tubal damage before tubal reconstructive surgery; (2) measure the diameter of a hydrosalpinx to determine the feasibility of tubal reconstruction; and (3) identity the distal portion of the fallopian tube(s) prior to tubal anastomosis following sterilization procedures.
  • This procedure also facilitates estimation of the length of the tube resulting from the tubal reconstructive surgery.
  • Tubal and pelvic reconstruction can be performed with the patient under the same anesthesia following diagnostic laparoscopy, via operative laparoscopy, or via laparotomy when necessary. However, patients may request a different surgical procedure on a different day if a laparotomy is required.

Timed endometrial biopsy can help identify female ovulatory factors.

Contributor Information and Disclosures

Krystene B DiPaola, MD Medical Director, Assistant Professor, Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, University of Cincinnati College of Medicine

Krystene B DiPaola, MD is a member of the following medical societies: American Medical Association, American Society for Reproductive Medicine, Sigma Xi, Society for Assisted Reproductive Technology

Disclosure: Nothing to disclose.

Specialty Editor Board

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

Christine Isaacs, MD Associate Professor, Department of Obstetrics and Gynecology, Division Head, General Obstetrics and Gynecology, Medical Director of Midwifery Services, Virginia Commonwealth University School of Medicine

Christine Isaacs, MD is a member of the following medical societies: American College of Obstetricians and Gynecologists

Disclosure: Nothing to disclose.

Chief Editor

Richard Scott Lucidi, MD, FACOG Associate Professor of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Virginia Commonwealth University School of Medicine

Richard Scott Lucidi, MD, FACOG is a member of the following medical societies: American College of Obstetricians and Gynecologists, American Society for Reproductive Medicine

Disclosure: Nothing to disclose.

Additional Contributors

Suzanne R Trupin, MD, FACOG Clinical Professor, Department of Obstetrics and Gynecology, University of Illinois College of Medicine at Urbana-Champaign; CEO and Owner, Women's Health Practice; CEO and Owner, Hada Cosmetic Medicine and Midwest Surgical Center

Suzanne R Trupin, MD, FACOG is a member of the following medical societies: American College of Obstetricians and Gynecologists, American Institute of Ultrasound in Medicine, International Society for Clinical Densitometry, AAGL, North American Menopause Society, American Medical Association, Association of Reproductive Health Professionals

Disclosure: Nothing to disclose.

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Sites and frequencies of ectopic pregnancy. By Donna M. Peretin, RN. (A) Ampullary, 80%; (B) Isthmic, 12%; (C) Fimbrial, 5%; (D) Cornual/Interstitial, 2%; (E) Abdominal, 1.4%; (F) Ovarian, 0.2%; (G) Cervical, 0.2%.
Salpingitis isthmica nodosa. Image courtesy of Jairo E. Garcia, MD.
Hydrosalpinx. Image courtesy of Jairo E. Garcia, MD.
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