Tubal Evaluation Specialist

Gago Center For Fertility -  - Obstetrics & Gynecology

Gago Center For Fertility

Obstetrics & Gynecology & Reproductive Endocrinologists located in Ann Arbor, Brighton & Lansing, MI

When you’re having difficulties becoming pregnant, a tubal evaluation may be your first step to learning more about your fertility issues. At Gago Center for Fertility, located in Brighton, Ann Arbor, and Lansing, Michigan, Laura April Gago, MD, offers in-office tubal evaluation procedures. This critical first step in fertility evaluation can get you started on your journey to addressing the issues that make it difficult to conceive. Schedule a tubal evaluation today online or by calling the office nearest you.

Tubal Evaluation Q & A

What is a tubal evaluation?

A variety of issues affecting your fallopian tubes can result in infertility. To determine if fallopian tube dysfunction is the root cause of your difficulties getting pregnant, Dr. Gago performs a tubal evaluation to get a closer look at the fallopian tube structures.

The fallopian tubes are reproductive organs on both sides of your upper uterus. They contain finger-like structures that trap a released egg during ovulation and assists with the fertilization process between sperm and egg.

About five days after this process, the fertilized egg travels through the fallopian tube and into the uterus, where it implants into the uterine lining, or endometrium.

How is a tubal evaluation performed?

To ensure the accuracy of the evaluation, Dr. Gago performs the test between 2-7 days after the end of your period. She may perform the diagnostic procedure using one or more technologies.


Hysterosalpingography (HSG) uses fluoroscopy imaging that allows Dr. Gago to view the fallopian tube structure. This technology functions like a continuous X-ray image, using a monitor to display the image of your internal structures and injected contrast dye to highly blockages.

Using this type of imaging test, Dr. Gago can identify fallopian tube abnormalities like obstructions or a defect that narrows the tube canal. Hysterosalpingography can also be effective in opening a blockage in the fallopian tube.


This minimally invasive procedure uses a laparoscope, which Dr. Gago inserts into the vaginal canal to access the fallopian tubes. The laparoscope contains a light and a camera, which sends images of the tube structure to an external monitor for evaluation.


During a hysteroscopy, Dr. Gago inserts an endoscope into the cervical canal to identify any obstructions or abnormalities of the fallopian tubes.

What can I expect after a tubal evaluation?

Dr. Gago can discuss what to expect after a tubal evaluation based on the type of technology she uses.

Typically, a laparoscopy or hysteroscopy may result in slight bleeding and cramping for a day or two after the test. You can use over-the-counter pain relievers and anti-inflammatories to keep you comfortable.

Dr. Gago reviews the results of your test and may recommend further treatment if she detects any issues in the fallopian tubes that affect your fertility. If fallopian tube dysfunction isn’t the cause of your fertility, Dr. Gago moves forward with other testing options to make a diagnosis.

Find out if a tubal evaluation is right for you by calling the office nearest you or using the online booking feature to schedule a consultation today.