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Surgery

Anatomy

The Fallopian tubes are paired muscular canals which extend from the lateral corners of the uterus to the ovaries.

Each tube is 10 to 12 cm in length and is divided into four segments:

  • Interstitial portion which extends through the uterine muscle wall
  • Isthmic portion which is very narrow and muscular
  • Ampullary portion is the longest segment with a thin muscular wall
  • Infundibular portion is the terminal end of the fallopian tube

Anatomy of women's reproductive system

Physiology

The fallopian tube is where the egg is fertilized by the sperm. The sperm enters the uterus following intercourse, travels through the isthmic portion of the tube and ascends to the ampullary segment of the tube. The egg enters the infundibular or fimbriated end of the tube after being released from the ovary and descends into the tube. Fertilization of the egg occurs in the ampullary segment of the tube and over the next 3-5 days, as the embryo grows and develops, it travels back down the tube, enters the uterus, implants, and pregnancy is established.

Advanced Maternal Age Factors can affect a woman’s ability to successfully conceive. AMH (Anti-Mullerian Hormone) blood testing is recommended for women age 40 and above. This specialized blood test evaluates your ovarian reserve (eggs remaining) and hormone levels.  It is a good indicator for potential successful conception following surgery.

Semen Analysis testing is recommended for all male partners to ensure no male factor is present that may interfere with your ability to successfully conceive following surgery.