Fallopian Tube Reconstruction Workup

Updated: Nov 12, 2021
  • Author: Krystene B DiPaola, MD; Chief Editor: Richard Scott Lucidi, MD, FACOG  more...
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Laboratory Studies

Male factors

Male factors include the following:

  • 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.