What Is Tubal Perfusion Pressure (TPP)?
Sometimes, even when a fallopian tube is unobstructed, the tube does not function very well. Most people, including many physicians, think of fallopian tubes as simple pipes where egg and sperm meet and as passageways for the fertilized egg to reach the uterus. However, in actuality, a fallopian tube is a much more dynamic organ. At the end of a fallopian tube closest to the ovaries, there is a part called the fimbriae. Fimbriae are very delicate skin-like folds, which "grab" the ovulated eggs from the ovary with gentle, sweeping motions. When this function is compromised, even a seemingly "open" fallopian tube can no longer serve its purpose. Using specialized computer software, pressure transducers, and selective salpingography, Dr. Norbert Gleicher and Dr. David H. Barad can more accurately measure the tubal perfusion pressure (TPP) of fallopian tubes. To learn more about TPP tests, contact the Center for Human Reproduction in New York, NY to set up your consultation with one of our fertility specialists.
How Does TPP Work?
Tubal perfusion pressure can be measured using a selective salpingography. A selective salpingography utilizes a small catheter to inject dye into the fallopian tubes. Tubes that are rigid and diseased need higher pressures to move the dye through, whereas normal tubes require only minimal pressures. The most frequent condition affecting fimbriae in the fallopian tubes is endometriosis. In a 1995 study, our CHR infertility specialists demonstrated that women with high TPP measurements are more likely to have endometriosis than women with low pressures. More importantly, women with high TPP measurements take longer to become pregnant and do not achieve pregnancy as often as women with low TPP measurements. TPP measurements have since become part of infertility diagnosis at many respected fertility centers.
Our CHR specialists have used the information from TPP measurements to recommend that women use IVF to achieve pregnancy rather than continue trying to conceive using methods that rely on their fallopian tubes. Because IVF circumvents the fallopian tubes, it is an ideal solution for women with tubal infertility.
What Are the Benefits of Tubal Perfusion Pressure?
Tubal perfusion pressure (TPP) tests offer significant benefits for assessing fallopian tube function. Fallopian tubes are dynamic organs whose functionality is crucial for conception. A few of the advantages TPP tests can offer include:
- Identifies dysfunction, even in open tubes
- Detects conditions like endometriosis affecting the fimbriae
- Uses advanced technology for precise measurement
- Helps predict pregnancy success rates
- Guides appropriate fertility treatment decisions, such as recommending IVF for tubal infertility
Center For Human Reproduction Reviews
Dr. Gleicher has handpicked best staff for his clinic. The care I have received here surpasses other clinics by a wide margin. I should know because I myself am a physician
This was my first IVF experience and it sure was a special experience. Dr. Barad, Dr. Gleicher, Sonya, Maria and the rest of the staff were beyond amazing and attentive every step of the way. They genuinely wanted the best for me and I never felt overlooked. My first egg retrieval and transfer were a success and I’m so grateful for this healthy pregnancy! They are truly the best.
Very attentive staff! World class doctors and expertise. True physicians! Thank you for all that you do.
Everything is very professional and caring.
It was my first time when I met Dr. Gleicher and I felt so comfortable and so special. His words of experience , knowledge mean a lot for me. I definitely recommend Dr Gleicher to everyone who looking for great and honest doctor!
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Why Choose CHR for Tubal Perfusion Pressure?
The Center for Human Reproduction is renowned for its expertise and innovative diagnostic methods in fertility care. Dr. Gleicher and Dr. Barad utilize state-of-the-art techniques, such as tubal perfusion pressure testing, to evaluate reproductive health. We excel in diagnosing and addressing complex fertility issues and creating treatment strategies tailored for optimal outcomes. You can trust our professionals at our facility in New York, NY to guide you through every step of your fertility journey.