İnfertilitede Tubo-Peritoneal Faktör

Genital kanal organları ile ilgili bir veya birden fazla anormallik durumunda sık görülen problem olan infertilite gelişir. Kadın infertilitesinde temel nedenler; servikal, uterin, tübal ve ovulatuar faktör olarak gruplandırılır. Bunlar arasında en sık görüleni tubal faktördür. Tüp ile infertiliteye neden olan bir çok anormallik vardır. Bu yazıda infertilteye neden olan proksimal tubal obstrüksiyon, distal tubal obstrüksiyon, salpingitis isthmica nodosa ve sterilizasyon sonrası tüpün tekrar açılması kilnik antiteleri, bunların tanısı ve tedavi seçenekleri kısaca gözden geçirilmiştir. Anahtar kelimeler: Kadın infertilitesi, Tubal faktör, Tubal anormallikler.

Tubo-Peritoneal Factor in Infertility

Infertility is a common medical problem resulting from one or more defects in the reproductive tract. The possible causes of female infertility are cervical, uterine, tubal and ovulatory factors. Tubal factors are the most common infertility factors. There are numerous tubal abnormalities causing female infertility. The clinical entities described in this article include distal tubal obstruction, proximal tubal obstruction, salpingitis isthmica nodosa, tubal reversal following female sterilization. The diagnosis and management of these conditions described briefly. Key words: Female infertility, Tubal factor, Tubal abnormalities.

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  • Speroff L, Fritz, M. The uterus, Part 1, Chapter 4. In: Speroff L, Fritz, M, editor. Clinical Gynecologic Endocrinology and Infertility. Seventh ed. Philadelphia: Lippincott Williams & Wilkins; 2005. p. 113-44.
  • Markham S. Cervico-utero-tubal factors in infertility. Curr Opin Obstet Gynecol 1991;3:191-6.
  • Hulka JF. Adnexal adhesions: a prognostic staging and classification system based on a five-year survey of fertility surgery results at Chapel Hill, North Carolina. Am J Obstet Gynecol 1982;144:141-8.
  • Forti G, Krausz C. Clinical review 100: Evaluation and treatment of the infertile couple. J Clin Endocrinol Metab 1998;83:4177-88.
  • Evers JL. Female subfertility. Lancet 2002;360:151-9.
  • Schlaff WD, Hassiakos DK, Damewood MD, Rock JA. Neosalpingostomy for distal tubal obstruction: prognostic factors and impact of surgical technique. Fertil Steril 1990;54:984-90.
  • Speroff L, Fritz, M. Female Infertility, Part 4, Chapter 27. In: Speroff L, Fritz, M, editor. Clinical Gynecologic Endocrinology and Infertility. Seventh ed. Philadelphia: Lipincott Williams Wilkins; 2005. p. 1046-53.
  • The American Fertility Society classifications of adnexal adhesions, distal tubal occlusion, tubal occlusion secondary to tubal ligation, tubal pregnancies, mullerian anomalies and intrauterine adhesions. Fertil Steril 1988;49:944-55.
  • Musich JR, Behrman SJ. Surgical management of tubal obstruction at the uterotubal junction. Fertil Steril 1983;40:423-41.
  • Marana R, Quagliarello J. Proximal tubal occlusion: microsurgery versus IVF--a review. Int J Fertil 1988;33:338-40.
  • James C, Gomel V. Surgical management of tubal factor infertility. Curr Opin Obstet Gynecol 1990;2:200-6.
  • Hulka JF, Halme J. Sterilization reversal: results of 101 attempts. Am J Obstet Gynecol 1988;159:767-74.
  • McComb PF, Rowe TC. Salpingitis isthmica nodosa: evidence it is a progressive disease. Fertil Steril 1989;51:542-5.
  • Perlman S, Hertweck P, Fallat ME. Paratubal and tubal abnormalities. Semin Pediatr Surg 2005;14:124-34.
  • Van Voorhis BJ. Comparison of tubal ligation reversal procedures. Clin Obstet Gynecol 2000;43:641-9.