‘Reconstructive microsurgery could be important in the treatment of infertility’

One topic discussed in relation to the treatment of human infertility is the efficacy of tubal microsurgery for the treatment of Fallopian tube obstruction and its efficacy compared to in vitro fertilisation.

Up until 1980, microsurgery was the only option for treatment of these patients. Later, with the advent of in-vitro fertilisation, for various reasons — not least of which were economic ones — tubal microsurgery became a secondary option. However, the question of its efficacy has now been raised again, especially in view of the fact that the efficacy of IVF appears to have reached its peak; in the United States, for example, the possibility of achieving a pregnancy ranges between 28% and 30% after the first ovarian stimulation cycle.

After evaluating the different types of tubal problems that can be treated with microsurgery and the different techniques used, the American Society for Reproductive Medicine (read HERE) concluded that reconstructive microsurgery could be important in the treatment of infertility. To this we would like to add the ethical aspect that the use of this microsurgery entails, since it does not present any ethical difficulties, unlike in vitro fertilisation.