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Review
. 2003 Sep 13;327(7415):610-3.
doi: 10.1136/bmj.327.7415.610.

ABC of subfertility. Tubal subfertility

Yacoub Khalaf
Review

ABC of subfertility. Tubal subfertility

Yacoub Khalaf. BMJ. .
No abstract available

PubMed Disclaimer

Figures

Figure 1
Figure 1
Incidence of tubal occlusion after pelvic infection
Figure 2
Figure 2
Perihepatic adhesions (arrow) seen at laparoscopy usually associated with pelvic gonorrhoeal or chlamydial infection (Fitz-Hugh-Curtis syndrome)
Figure 3
Figure 3
Hysterosalpingogram showing contrast filling defects caused by intrauterine adhesions. The arrows show the areas of front to back adhesion partially occluding the cavity and disrupting the normal endometrium
Figure 4
Figure 4
Laparoscopy showing two Filshie clips on the right fallopian tube. Double application has no benefit as it is no more effective and destroys a greater length of tube, making reversal less likely to be successful
Figure 5
Figure 5
A dilated hydrosalpinx diagnosed by sonohysterography. The sausage shaped, dark hydosalpinx (filled with saline) stands out clearly against background structures
Figure 6
Figure 6
Hysterosonogram showing an intracavity fibroid outlined by ultrasonic contrast medium
Figure 6
Figure 6
Hysterosonogram showing an intracavity fibroid outlined by ultrasonic contrast medium
Figure 8
Figure 8
Hysterosalpinogram showing bilateral hydrosalpinges filled with x ray contrast that has been instilled via the cervix. The Cusco speculum blades and the thread of the metal cannula are seen at the base of the picture
Figure 9
Figure 9
X ray film of a patent fallopian tube after transcervical tubal cannulation. The selective salpingography cannula points at the right cornu and contrast spills through into the pelvis
See this image and copyright information in PMC

References

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    1. Centers for Disease Control and Prevention. Pelvic inflammatory disease: guidelines for prevention and management. Morb Mortal Wkly Rep 1991: 1-33.
    1. Karande VC, Pratt DE, Rao R, Balin M, Gleicher N. Elevated tubal perfusion pressures during selective salpinography are highly suggestive of tubal endometriosis. Fertil Steril 1995;64: 1070-3. - PubMed
    1. Woolcot R, Petchpud A, O'Donnell P, Stanger J. Differential impact on pregnancy rate of selective salpingography, tubal catheterization and wire-guide recanalization in the treatment of proximal fallopian tube obstruction. Hum Reprod 1995;10: 1423-6. - PubMed

MeSH terms