Definition - What does Chromopertubation mean?
Chromopertubation is a procedure performed in combination with a surgical procedure called laparoscopy to visualize the fallopian tubes with the purpose of assessing their patency or openness by instilling a dye through the tubes to check for any blockages.
Chromopertubation is regarded as a gold standard test to assess the patency of tubes. However, being an invasive procedure, it is considered as a last resort in the evaluation of female infertility and is usually carried out after hysterosalpingogram results have been inconsistent.
FertilitySmarts explains Chromopertubation
Open fallopian tubes are critical for achieving a successful spontaneous pregnancy as the sperm travels all the way to the tubes to fertilize an egg. As part of an infertility investigation, it is often essential to determine whether the woman's fallopian tubes are open or not.
The procedure is typically performed under general anesthesia. As part of the procedure, a small cut is made on the skin of the abdomen and an instrument called a laparoscope is inserted into the abdomen.
A dilute blue dye is injected via a metal or plastic tube that is inserted through the cervix into the uterus, facilitating the entry of the colored dye into the uterine cavity and fallopian tubes.
If the tubes are open, the dye can be observed spilling out of the ends of the tubes as seen through the camera of the laparoscope. In contrast, if the tubes are blocked, the dye will flow back into the cavity of the uterus.
Apart from evaluating tubal patency, it can also help identify and treat other causes of infertility like pelvic adhesions and endometriosis with the help of laparoscopy.
- AAGL 2013: Hysteroscopic Chromopertubation for Assessing Tubal Patency?. (2013).
- Evidence-based diagnosis and management of tubal factor infertility. (2004).
- Chromopertubation – Presentation of a Modification of the Standard Technique. (2013).