Tubal factor infertility comes from several different causes. The simplest form is patients who have had a prior tubal ligation either at delivery or after delivery. This type of tubal factor infertility can often be corrected with surgery referred to as tubal anastomoses or via IVF.
The second cause of tubal factor infertility is through exposure to sexually transmitted diseases which can result in scarring of the fallopian tubes and blockage. A blockage at the end of the fallopian tube can result in a hydrosalpinx which can be seen on the hysterosalpingogram illustrated above. This hydrosalpinx typically needs to be removed prior to infertility treatment with the recommended infertility treatment being IVF.