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Research Paper | Gynaecology | India | Volume 12 Issue 7, July 2023

Tubal Recanalization - A Vanishing Art in the World of Art (Assisted Reproductive Technologies)

Dr. Manisha Agarwal | Dr. Sumedha Singh Sachan | Dr. Sweekrati Solanki

Abstract: Introduction: Female sterilization remains the most popular contraceptive method among young Indian women. Tubal sterilization is the mainstay of NFWP in India, secondary infertility due to tubal sterilization accounts 3 - 11% out of these 1 - 3 % couple request for another child. The treatment option of secondary infertility due to tubal sterilization is the choice between tubal recanalization and in - vitro fertilization embryo transfer. In this era of ART and ET tubal recanalization is still the method of choice in these types of cases. Objective: To evaluate role of tubal recanalization in secondary infertility. Material & Method: A retrospective study was carried out in Mahatma Gandhi Medical college and research institute Puducherry, 51 patients under went for Tubal Recanalization. Study duration was July 2005 to July 2009. RESULTS - During the study period 30 subjects underwent tubal recanalization.14 subjects (47%) conceived. Among the women conceived, laparoscopically sterilized had better chance of conception (78.5%) as compared to pomeroy?s (21.5%) technique. Fifty - one women, who underwent tubal recanalization and came for follow up during the study period were included in the study.34.78% of women conceived among 51 who underwent recanalization Most of our women marry at young age and complete their family by 25 years, and due to benefit given by government, they opted permanent sterilization, unfortunately, few of them demand recanalization.51 patients underwent for recanalization in this study and 28.43% had successful pregnancy, 13.6% had spontaneous 1st trimester abortion, 6.52% had ectopic pregnancy. Conclusion: There is definite role of tubal recanalization in following sterilization even in present era of IVF in our country. Tubal reversal is more cost - effective option. Pregnancy outcome of tubal reversal is better than from IVF technique. Nulliparous and primiparous women should be motivated to use temporary method of contraception. Tubal recanalization by microsurgical technique is one of the methods to solve infertility after sterilization.

Keywords: Tubal Ligation, Recanalization, IVF, Conception Rate

Edition: Volume 12 Issue 7, July 2023,

Pages: 85 - 88