Tubal factor infertility accounts for about 20-25% of all cases of infertility. This category includes cases in which the woman has completely blocked fallopian tubes and also women who have either one blocked tube or tubal scarring or other tubal damage. Most tubal disease is caused by an episode of tubal infections (pelvic inflammatory disease, PID) or a condition called endometriosis.
In cases of relatively minor tubal damage it can be difficult to be certain that the infertility problem is solely due to the tubal damage. …

Ovulatory dysfunction is abnormal, irregular, or absent ovulation. Menses are often irregular or absent. Diagnosis is often possible by history or can be confirmed by measurement of hormone levels or serial pelvic ultrasonography. Treatment is usually induction of ovulation with clomiphene or other drugs.
Symptoms and Signs
Ovulatory dysfunction is suspected if menses are absent, irregular, or not preceded by symptoms, such as breast tenderness, lower abdominal bloating, or moodiness.
Ovulatory Dysfunction Overview
Ovulatory problems account for 20 to 30% of infertility cases.
A normal adult women ovulates every 25 to 32 days. Ovulation …