الفهرس 
INTRODUCTION & RATIONALOnly 14 pages are availabe for public view
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Abstract
Fallopian tube disease is the most frequent cause of female infertility, it is responsible for 25–35% cases of female infertility worldwide. Proximal tubal obstruction is associated with 10%¬¬-20% of cases of tubal infertility.
Fallopian tube disease includes factors such as obstruction or damage of the fallopian tubes, treatment options include surgical tubal repair, expectant management, and in vitro fertilization–embryo transfer IVF–ET.
However, IVF–ET may not be necessary in all cases of infertility, implying that it is important to ascertain the cause of the tubal disease.
This study was randomized clinical trial; Infertile female patients with unilateral or bilateral proximal tubal obstruction by (HSG) as an only cause of infertility primary or secondary and all patient underwent combined hysteroscopy and laparoscopy.
The study was carried out in the Obstetrics and gynecology Department at Suez Canal University Hospitals from May 2017 to May 2022 including 92 patients and they were subjected to history taking, thorough general, abdominal and vaginal examination Laboratory investigation in form of; serum prolactin, LH, FSH, and semen analysis for the husband, Combined Trans-abdominal& Trans-vaginal ultrasound for exclusion of ovarian endometrioma, hydrosalpinx and other pelvic diseases and HSG before and after recanalization. .