Fallopian tubes are functionally and anatomically important organs for successful pregnancy. They play vital role in the transport of gametes and embryos, and are sites of sperm preparation, fertilization, and embryo development. Hysterosalpingography assesses the tubal patency, but not the tubal function. In case of unexplained infertility, a likely tubal cause of infertility is tubal dysfunction, including an oocyte capture disorder in the fimbriae during ovulation and the inability to transport gametes and embryos. Read more
Adhesions of the endometrium develop because of a trauma to the uterine lining. This includes a history of cesarean section and the dilation and the curettage often performed during an elective abortion or because of a pregnancy failure. The dilation and the curettage performed for placental fragment retention also increases the risk of Asherman syndrome (synechiae) development. After the procedure, the damaged endometrial surfaces heal into the adhesion. As a result, the patient may experience fertility problems or recurrent pregnancy loss. Read more
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