L11: Infertility - Pt 2 Flashcards
(68 cards)
Etiology of Tubal factor in Infertility
Etiology of Tubal factor in Infertility
- Congenital
- Tubal aplasia.
- Tubal hypoplasia.
- Tubal diverticulum.
- Tubal accessory ostium.
Etiology of Tubal factor in Infertility
- Traumatic
Trauma during operation followed by adhesions.
Etiology of Tubal factor in Infertility
- Inflammatory
Following P.I.D β βthe commonest cause in the tubeβ.
Etiology of Tubal factor in Infertility
- Neoplastic
As small cornual fibroid closing the tubal
Etiology of Tubal factor in Infertility
- Endometriosis
It causes pelvic adhesions and abnormal tubal motility.
Etiology of Tubal factor in Infertility
- Disturbed Physiology
- Spasm of the tubes.
- Poor ciliary movement.
- Changed tubal secretions.
- Failure of picking up mechanism.
CP of Tubal factor in Infertility
CP of Tubal factor in Infertility
- Hx
History of:
- Puerperal sepsis
- P.I.D.
- TB.
CP of Tubal factor in Infertility
- Ex
INVx for Tubal factor in Infertility
INVx for Tubal factor in Infertility
- Rads
INVx for Tubal factor in Infertility
- Laparoscopy
Laparoscopy for Tubal factor in Infertility
- Diagnostic
Laparoscopy for Tubal factor in Infertility
- Therapeutic
TTT of Tubal factor in Infertility
TTT of Tubal factor in Infertility
- Prophylactic
By avoidance of the causes especially infection.
TTT of Tubal factor in Infertility
- Medical
By fibrinolytic drugs as colchicine, hydrotubation OR short-wave TT.
TTT of Tubal factor in Infertility
- Surgical
Usually it is the main line of treatment, and mostly microsurgical procedures via laparoscope.
TTT of Tubal factor in Infertility
- ART
Assisted reproductive technology
βbest and commonly used nowβ.
Commenst Test Tube
HSG
Idea of HSG
Inject radio opaque dye (Lipiodol and Urograffin) in the uterus to pass through the tubes to the peritoneal cavity.
Timing of HSG
Complicatsions of HSG