The most common type of tubal abnormalities
demonstrated in the present study was cornual
occlusion (46.04%). Several factors were proposed as
the causes of cornual occlusion. These include
salpingitis isthmica nodusa, pelvic inflammatory
disease, pelvic tuberculosis, endometrial polyp and
submucous fibriod(12). Cornual occlusion due to
infection is often associated with microscopic
damage along the length of the tube and so there is a
poor prognosis for tubal surgery in such cases. In
vitro fertilisation (IVF) is usually the treatment of
choice for these patients who present with moderate
to severe tubal damage. Although IVF has proved to
be reasonably successful in patients suffering from
tubal pathologies being treated in most infertility
centres, it consists of several stressful treatment
steps and the cost is exceptionally high. It, thus,
seems justified to advocate prevention measure
against tubal diseases in order to minimise the chance
of experiencing tubal infertility. Providing health
information to reproductive-aged women regarding
factors attributed to tubal damage could be one of
these measures.