Is surgical repair of the fallopian tubes ever appropriate?

Rev Obstet Gynecol. 2009 Summer;2(3):176-85.

Abstract

The overall median prevalence of infertility, defined as no conception after more than 12 months of unprotected intercourse with the husband or cohabiting partner in women aged 15 to 44 years, is approximately 9%. About 25% to 33% of female infertility is the result of tubal disease and endometriosis. In view of very successful alternative treatment of tubal factor infertility, the surgical repair of the fallopian tubes is all but obsolete and has been replaced with assisted reproductive technology. This article reviews situations in which surgical repair of the fallopian tubes may facilitate conception.

Keywords: Assisted reproductive technology; Infertility, endometriosis; Infertility, fallopian tube disease; Macrosurgical tubal repair; Microsurgical tubal repair.