Navigating Fertility: Advanced Techniques for Uterine and Fallopian Tube Evaluation – ARC Summit

We’ve discussed ovulation, and now we’ll look at how we evaluate pelvic anatomy, specifically the uterus and fallopian tubes. A common method used in many offices is the saline infusion study. In this procedure, saline is infused into the uterus to separate the normally collapsed uterine walls, which creates a “potential space” that can be expanded. This allows us to examine the cavity for any abnormalities like polyps or fibroids. For example, a typical finding might be an endometrial polyp measuring 2 cm x 1.5 cm x 10 mm located at the fundal region of the uterus.

We often proceed with hysteroscopy for further verification or to remove detected anomalies. The process provides a clear view of the uterine cavity and any issues, such as the removal of a polyp, ensuring the cavity appears normal afterward.

Another common issue affecting fertility is uterine anomalies like a uterine septum. The uterus typically forms from two separate structures that fuse together, absorbing the dividing wall to create a single cavity. However, in some cases, this wall isn’t fully absorbed, resulting in a fibrous longitudinal septum dividing the uterus. During a hysteroscopic procedure, we can visualize and surgically remove this septum using stainless steel scissors, effectively unifying the uterine cavity to enhance fertility potential.