Fallopian Tube Patency Test (Laparoscopy)

The gold standard for infertility diagnosis: accurate fallopian tube patency testing

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When a couple faces difficulties conceiving, one of the most important steps is to check the patency of the fallopian tubes. At St. Luke’s Clinic (Banchery village), we perform diagnostic laparoscopy with chromosalpingoscopy. This is a modern endoscopic method that allows for 100% accurate assessment of the reproductive organs and identification of the causes of infertility that are not visible on ultrasound.

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What is chromosalpingoscopy?

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This is a procedure for visualizing the patency of the fallopian tubes during laparoscopy.

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1. The surgeon inserts an optical device (laparoscope) into the abdominal cavity through a micro-puncture in the navel.
2. A sterile contrast solution (stained blue) is introduced through the cervix.
3. On the monitor, the doctor observes: if the fluid freely flows from the ends of the tubes into the abdominal cavity — the tubes are patent. If the fluid does not pass — there is a blockage.

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Advantages of the method over X-ray (HSG)

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Unlike hysterosalpingography (X-ray of the tubes), laparoscopy allows not only to make a diagnosis but also to immediately perform treatment:

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• Dissect adhesions (adhesive process) that compress the tube.
• Remove foci of endometriosis.
• Restore tube patency (fimbrioplasty).
• Remove ovarian cysts or fibroids.

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Indications for surgery

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• Infertility of unknown origin (when tests are normal, but pregnancy does not occur).
• Suspicion of fallopian tube obstruction (after previous inflammations, chlamydia, gonorrhea).
• Endometriosis or suspicion of it.
• Polycystic ovary syndrome (PCOS) — ovarian drilling may be performed to stimulate ovulation.
• Chronic pelvic pain.

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