Current controversies in tubal disease, endometriosis, and pelvic adhesion

Reproductive surgery for tubal infertility and the treatment of endometriosis and adenomyosis is reviewed as well as the current understanding of adhesion pathogenesis and the limited options for prevention.

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Volume 112, Issue 3, Pages 417–425


Jeffrey M. Goldberg, M.D., Tommaso Falcone, M.D., Michael P. Diamond, M.D.


Reproductive surgery for proximal and distal tubal occlusion, as well as for reversal of tubal ligation, may be an alternative or an adjunct to IVF. Surgery for adenomyosis and endometriosis, including endometriomas, may be considered for the treatment of infertility and/or pelvic pain but carries the risks of surgical complications and diminished ovarian reserve. A greater understanding of the pathogenesis of postoperative peritoneal adhesion formation is needed to develop more effective preventive measures to optimize the clinical results of surgery.

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Fertility and Sterility

Editorial Office, American Society for Reproductive Medicine

Fertility and Sterility® is an international journal for obstetricians, gynecologists, reproductive endocrinologists, urologists, basic scientists and others who treat and investigate problems of infertility and human reproductive disorders.