O-125 How to evaluate the tubal function before and during surgery

Abstract

Abstract Role of assessment of Fallopian tubes in the modern era of highly effective ART remains essential. Both prior to deciding if ART is needed to exclude tubal damage and also in those where ART is needed to exclude hydrosalpinges. The question remains how one should assess tubal function. It is now well established that not all patients needed invasive surgical techniques to assess fallopian tubes. Clinical history of pelvic infection or positive test for STI such as chlamydia and a baseline scan are soft markers indicating the need for an early tubal assessment. Non surgical techniques are the first line approach for tubal assessment such as HyCoSy ( HyFoSy) or HSG. Surgical method such as laparoscopy and dye test are generally recommended when results are inconclusive or pathology has been observed where surgery is indicated. These methods can check tubal patency but not tubal function. Where as tubal function can be assessed either with falloposcopy during laparoscopy or Fertiloscopy through transvaginal route by looking inside the fallopian tube.