1. State of uterine tubes at tubo-peritoneal infertility after laparoscopic treatment MPISRL IAMSS OGASH BOARD CHAIRPERSONS National Center IAMSS OGASH. Georgia, Tbilisi. Nino Datoshvili, Temur Gagnidze, Avtandil Chkheidze

2. Practical recommendations 1. Stages of investigation and treatment of tubo-peritoneal infertility. Sonosalpingography Uterine tubes obstruction Uterine tubes obstruction in ampullar part in isthmic part Computed kymopertubation on seduxen test background Diagnostic laparoscopy Tubes passable Interstitial obstruction Ampullar obstruction “In vitro” program Laparoscopic plastics Control with computed kymopertubation Tubular passage is maintained Obstruction 12 months observation Restored fertility No pregnancy

3. Note: Computed kymopertubation means tubs functional condition. The kymopertubation is the type of examination, which is giving the prognoses of ectopic pregnancy and early pregnancy interruption.

4. 2. On the first stage of investigation of tubo-peritoneal infertility the sonosalpingography is recommended to all patients.

5. 3. After sonosalpingography, computed kymopertubation is necessary for patients with diagnosis - tubo-peritoneal infertility to confirm or ignore diagnosis of the above mentioned infertility

6. 4. In case of isthmic part obstruction, being detected with the use of sonosalpingography, computed kymopertubation must be carried out on the seduxen test background.

7. 5. Laparoscopic investigation is necessary to make the final diagnosis of tubo-peritoneal infertility. In the process of laparoscopy, corresponding plastic operations could be carried out in parallel.

8. 6. In case of undesirable outcome of operation, when computed kymopertubation confirms the uterine tubes obstruction, “in vitro” fertilization must be suggested and recommended..

9. B U L L E T I N of Intercontinental Academy of Medical-Social Sciences (IAMSS) Laboratorial Medicine Standards C o n s e n s u s