Indications for the Treatment of Tubal Infertility Patients by Microsurgery or In Vitro Fertilization

Abstract

Pregnancy rates following the treatment of tubal infertility patients by microsurgery or in vitro fertilization (IVF) were analyzed. The results indicate that microsurgery should be the primary treatment for the following: sterilization reversal (except fimbriectomies or tubes of < 3 cm length); incomplete lateral tubal occlusion; medial tubal occlusion; or peritubal or periovarian adhesions. IVF is indicated as the primary treatment for tubal infertility patients when investigation demonstrates total lateral tubal occlusion; previous fimbriectomy sterilizations; reconstructable tubal length of < 3 cm.