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Related Concept Videos

Infertility in Females01:28

Infertility in Females

Female infertility is defined as the inability to conceive after a year of regular, unprotected intercourse and affects about 10–15% of couples worldwide. The primary cause of female infertility is ovulatory disorders, which hinder the release of eggs. These disorders can be classified as hypothalamic amenorrhea, polycystic ovarian syndrome (PCOS), premature ovarian failure, and hyperprolactinemic anovulation disorders.
Endometriosis, a condition characterized by abnormal growth of endometrial...
Birth Control Methods01:22

Birth Control Methods

Vasectomy is a surgical form of male sterilization that involves severing and sealing the vasa deferentia, preventing sperm from mixing with semen during ejaculation. Because a vasectomy does not impact the testes' ability to produce testosterone, hormone levels, libido, and sexual function generally remain unchanged. While vasectomy is highly effective in preventing pregnancy, with a success rate near 99.85%, rare cases of recanalization (spontaneous reconnection) can occur. Although vasectomy...
Infertility in Males01:23

Infertility in Males

Male infertility affects millions of couples worldwide, arising from various factors that impact different stages of the reproductive process. An endocrine imbalance resulting from conditions like hypogonadism, Klinefelter syndrome, or pituitary disorders can disrupt hormone levels and reduce sperm production. Testicular defects, such as tumors, cryptorchidism, atrophic testes, abnormal sperm morphology, and low sperm count or motility, may arise due to genetic factors, structural...
In Vitro Fertilization01:24

In Vitro Fertilization

In vitro fertilization (IVF) is a form of assisted reproductive technology where an egg is fertilized with sperm in a controlled laboratory environment before transferring the resulting embryo into the uterus. This process is designed to help individuals and couples experiencing difficulties conceiving.
The IVF process begins with ovarian stimulation, during which reproductive endocrinologists prescribe hormonal medications to stimulate the ovaries to produce multiple eggs instead of the single...
Uterine Tubes01:16

Uterine Tubes

The uterine or fallopian tubes function as the conduit through which oocytes travel from the ovaries to the uterus. Each fallopian tube measures approximately 10 to 13 cm long and is anatomically divided into the infundibulum, ampulla, isthmus, and interstitial part (or intramural segment). The infundibulum is characterized by its funnel shape and features extensions called fimbriae which reach towards the peritoneal cavity. These fimbriae play a critical role during ovulation as they extend...

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Predicting natural conception leading to live birth for couples with infertility: a single-centre population-based cohort study of 7086 couples.

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Related Experiment Video

Updated: Jul 3, 2026

Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
11:29

Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma

Published on: January 22, 2022

Surgery for tubal infertility.

Zabeena Pandian1, Valentine A Akande, Kirsten Harrild

  • 1Obstetrics & Gynaecology, Aberdeen Maternity Hospital, Foresterhill, Aberdeen, UK, AB25 2ZD. ogy211@abdn.ac.uk

The Cochrane Database of Systematic Reviews
|July 23, 2008
PubMed
Summary

The effectiveness of tubal surgery for infertility remains unknown. More research is needed to compare surgery with in vitro fertilisation (IVF) and expectant management, considering livebirth rates and costs.

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Published on: July 25, 2017

Area of Science:

  • Reproductive medicine
  • Surgical interventions
  • Infertility treatments

Background:

  • Tubal surgery is a common treatment for tubal infertility, with reported livebirth rates varying by disease severity.
  • The comparative effectiveness of tubal surgery against in vitro fertilisation (IVF) and expectant management has not been rigorously evaluated.
  • Concerns exist regarding adverse outcomes, complications, and costs associated with tubal surgery.

Purpose of the Study:

  • To determine if tubal surgery improves livebirth rates compared to expectant management or IVF for tubal infertility.
  • To assess surgical effectiveness regardless of the severity of tubal damage.

Main Methods:

  • A systematic search of multiple databases (Cochrane, MEDLINE, EMBASE) and conference proceedings was conducted.
  • Only randomized controlled trials were included, with livebirth rate per woman as the primary outcome.
  • Eligibility and quality of trials were independently assessed by two reviewers.

Main Results:

  • No suitable randomized controlled trials were identified for this review.
  • The effectiveness of tubal surgery compared to other infertility treatments could not be determined.

Conclusions:

  • The impact of tubal surgery on livebirth rates relative to expectant management and IVF is currently unknown.
  • Large, adequately powered randomized controlled trials are necessary to establish the effectiveness of tubal surgery.
  • Future research should compare livebirth rates, adverse effects, and costs, considering factors like female age and infertility duration.