Distal tubal occlusion — including hydrosalpinx, fimbrial agglutination, and peritubal adhesions — is a correctable cause of tubal-factor infertility amenable to salpingoneostomy, fimbrioplasty, and adhesiolysis under PEARS principles. Restoration of distal tubal patency and normal fimbrial architecture allows natural conception and avoids the bypassing of physiological fertilization that characterizes assisted reproductive technology.
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Cite this article
Hilgers, T. W. (2004). Chapter 76: PEARS for the Fallopian Tubes: Distal Occlusions and Other Applications. *The Medical and Surgical Practice of NaProTECHNOLOGY*, 1031-1044.
Hilgers TW. Chapter 76: PEARS for the Fallopian Tubes: Distal Occlusions and Other Applications. The Medical and Surgical Practice of NaProTECHNOLOGY. 2004:1031-1044.
Hilgers, T. W. "Chapter 76: PEARS for the Fallopian Tubes: Distal Occlusions and Other Applications." *The Medical and Surgical Practice of NaProTECHNOLOGY*, 2004, pp. 1031-1044.
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