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How does salpingoscopy help identify fallopian tube problems?

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Diagram showing the female reproductive system with labeled ovaries, fallopian tubes, uterus, and vagina, alongside hormone pathways and the process from ovulation to fertilization and early embryo development. — infertility Major structures and hormones involved in the initiation of pregnancy. Also seen, at right, is the development of an egg cell (ovum) from follicle to embryo.

Salpingoscopy is a direct diagnostic procedure used to evaluate the health of the fallopian tubes, which are essential passageways for sperm and eggs.1

During the procedure, a flexible fibre-optic instrument equipped with a camera is introduced into the abdominal cavity. This allows medical professionals to visualize and detect subtle abnormalities within the lining of the fallopian tube that might otherwise contribute to infertility.1

The findings are quantified using a scoring system based on the extent of the observed abnormalities. These scores are highly predictive of a patient's ability to achieve pregnancy, providing critical information for managing fertility-related concerns. By identifying these internal issues, salpingoscopy offers a more detailed assessment than traditional radiological exams like hysterosalpingography, which primarily focus on determining tubal patency.1