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Diagnosing Infertility

Fallopian tube catheterization

When proximal fallopian tube obstruction is diagnosed in hysterosalpingography (HSG) Fallopian tube catheterization is recommended.
Proximal obstruction (in the region the fallopian tube connects to the uterus) is sometimes revealed by HSG or echovist tests. The obstruction can be unilateral or bilateral. In most cases (over 90%) the obstruction or adhesion can be corrected by catheterization.
Selective salpingography and fallopian tube catheterization are performed by Dr. Itai Bar-Hava at Assuta Medical Center. Dr. Bar-Hava specialized in this technique at Chicago medical center under the guidance of Prof. Gleicher which was one of the first to perform modern these procedures.
Fallopian tube catheterization is performed under HSG guidance. The procedure is done using a special catheter which is inserted into the fallopian tube opening. Sometimes a second finer catheter is inserted into the tube itself to “clean” the path. After this procedure over 90% of fallopian tubes with proximal obstructions restore patency as demonstrated by the proper spread of contrast media in HSG.
Fallopian tube catheterization has very high efficiency and tolerated inconvenience for the patient (comparable to HSG). If tubal obstruction was the only fertility problem, the chances of pregnancy in the first six months after the procedure are 60-70%. Ample studies show that 70% of fallopian tubes that restored patency by catheterization remain opens a year after the procedure
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