ANATOMIC DISTORTION OF CLINICALLY NORMAL APPEARING FALLOPIAN-TUBE - TO WHAT EXTENT DOES IT CONTRIBUTE TO INFERTILITY

We analyzed whether patent but anatomically deranged tubes were more c ommonly encountered in infertile women than in fertile women, The fert ile group consisted of 100 women who were apparently normal with respe ct to fertility and the infertile group consisted of 100 infertile wom en with no certain etiology identified. The individual tubal structure was recorded at laparoscopy and the results of the two groups were th en compared. Tubal pathology was found to be significantly higher in t he infertile group; however, this marked difference arose from the con tribution of a significantly higher frequency of peritubal pelvic adhe sions because no difference was found between the two groups regarding anatomic variations of the fallopian tube, We conclude that tubal der angement which could only be identified with laparoscopy significantly contributes to infertility,