Introduction to uterine and tubal factor infertility

Subscriptions:
UK prices shown, other nationalities may qualify for reduced prices. You must sign in to purchase tutorials. New user? Register here.


Normal uterus.

Although the most common causes of subfertility are tubal, it is also important to consider uncommon factors such as anovulation, male factors and uterine factors in the evaluation of subfertility. There are many investigations to evaluate the uterine cavity, and these include TVS, HSG and hysteroscopy. Whilst ultrasound examination can identify polyps and fibroids, subtle abnormalities are sometimes lost to diagnosis and require more intense screening such as HSG and hysteroscopy.

Tubal factor infertility is one of the main causative factors in female infertility and is diagnosed in 15–50% of couples presenting with subfertility. More importantly, the causative factors of tubal infertility are preventable and the proactive management and prevention of the causative factors will substantially reduce the morbidity from infection and the resulting subfertility.

This tutorial will help you to investigate, diagnose and manage women with tubal and uterine factor infertility and includes measures that you can undertake in clinical practice to minimise the morbidity of subfertility.

Learning objectives

When you have completed this tutorial you will understand:

  • the aetiology of uterine and tubal factors in subfertility
  • the different options that are available for their investigation
  • the management options available
  • the importance of prevention

Last updated: 27/09/10 (section on tubal infertility was reviewed and updated by Maha Ragunath)

21/07/10 (Eight new images were added to the section on uterine function)

07/06/10 (Tutorial was revised by Maha Ragunath, who added new preliminary reading, more preliminary assessments and a new section on uterine function)


Access to this page does not expire.