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Review
. 2015 Apr-Jun;8(2):129-31.

Fallopian tubes--literature review of anatomy and etiology in female infertility

Affiliations
Review

Fallopian tubes--literature review of anatomy and etiology in female infertility

I Briceag et al. J Med Life. 2015 Apr-Jun.

Abstract

Rationale: Around 30% of the infertile women worldwide have associated Fallopian tubes pathology. Unfortunately, for a long time, this aspect of infertility has been neglected due to the possibility of bypassing this deadlock through IVF.

Objective: Up to date free full text literature was reviewed, meaning 4 major textbooks and around 100 articles centered on tubal infertility, in order to raise the awareness on this subject.

Methods and results: The anatomy of the Fallopian tube is complex starting from its embryological development and continuing with its vascular supply and ciliated microstructure, that is the key to the process of egg transport to the site of fertilization. There are many strongly documented causes of tubal infertility: infections (Chlamydia Trachomatis, Gonorrhea, and genital tuberculosis), intrauterine contraceptive devices, endometriosis, and complications after abdominal surgery, etc.

Discussions: Although there are still many controversies about the etiology of tubal sterility with the advent of molecular diagnosis of infections there has been cleared the pathway of infection through endometriosis or through ciliary immobility towards the tubal obstruction.

Keywords: Fallopian; anatomy; etiology; infertility; tubes.

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Figures

Fig. 1
Fig. 1
Anatomy of the female reproductive system – chart taken and modified from the collection of the Anatomy Department, “Carol Davila” University of Medicine and Pharmacy, Bucharest
Fig. 2
Fig. 2
Uterine tube at the level of the ampulla and mesosalpinx ligament. Schematic drawing after a hematoxylin and eosin specimen viewed at low magnification from the collection of the Morphology Department at “Carol Davila” University of Medicine and Pharmacy, Bucharest

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