Tubal and uterine factor

Expert Diagnosis & Treatment by Dr. Jovana Lekovich

Tubal and uterine factor infertility are two common causes of difficulty conceiving, and both require the experience of a highly trained fertility specialist. Dr. Jovana Lekovich, a board-certified reproductive endocrinologist based in New York City, provides comprehensive evaluation and personalized treatment plans for patients facing these complex reproductive challenges.

With advanced diagnostic tools and minimally invasive treatments, Dr. Lekovich helps patients overcome barriers to conception and build the families they’ve envisioned.

What Is Tubal Factor Infertility?

Tubal factor infertility occurs when the fallopian tubes are blocked, damaged, or absent—preventing the egg and sperm from meeting or hindering the transport of a fertilized embryo to the uterus.

Common causes of tubal infertility include:

  • Pelvic inflammatory disease (PID)

  • Endometriosis

  • Prior ectopic pregnancy

  • Tubal ligation (and reversal attempts)

  • Previous pelvic or abdominal surgery

  • Hydrosalpinx (fluid-filled fallopian tubes)


What Is Uterine Factor Infertility?

Uterine factor infertility refers to structural or functional issues with the uterus that prevent implantation or the ability to carry a pregnancy.

Common uterine abnormalities include:

  • Fibroids (especially submucosal)

  • Uterine polyps

  • Uterine septum or congenital malformations

  • Scar tissue (Asherman’s syndrome)

  • Thin or irregular endometrial lining

  • Chronic endometritis


How Dr. Lekovich Diagnoses Tubal & Uterine Factors

Accurate diagnosis is the foundation of effective fertility treatment. Dr. Lekovich uses advanced, minimally invasive tools to pinpoint the root cause of infertility:

  • Hysterosalpingogram (HSG): An X-ray to assess tubal patency and uterine shape

  • Saline sonohysterography (SIS): Ultrasound-guided evaluation of the uterine cavity

  • Pelvic ultrasound: To visualize fibroids, polyps, or other abnormalities

  • Hysteroscopy: Direct visual examination and treatment of the uterine cavity

  • Laparoscopy: To assess and treat tubal blockages, adhesions, or endometriosis


Treatment Options for Tubal & Uterine Factor Infertility

Dr. Lekovich creates a customized treatment plan based on your diagnosis, fertility goals, and overall reproductive health.

🔬 Tubal Factor Treatment:

  • Tubal surgery or repair (when possible)

  • Hydrosalpinx removal or clipping to improve IVF success

  • In vitro fertilization (IVF) to bypass blocked tubes

🏥 Uterine Factor Treatment:

  • Hysteroscopic surgery to remove fibroids, polyps, or uterine septum

  • Adhesiolysis to treat Asherman’s syndrome

  • Hormonal therapy to support endometrial lining development

  • Endometrial biopsy to evaluate receptivity and inflammation

Every treatment is performed with precision and care, maximizing your chances of a healthy pregnancy.


Why Choose Dr. Jovana Lekovich?

  • 🧬 Advanced Fertility Expertise
    A leader in reproductive endocrinology with years of experience managing complex infertility cases.

  • 🛠️ Minimally Invasive Surgical Techniques
    Access to cutting-edge procedures that restore fertility while minimizing recovery time.

  • 🤝 Individualized, Compassionate Care
    You’re never just a number. Dr. Lekovich listens closely, explains clearly, and partners with you at every step.

  • 🗽 NYC-Based with Global Reach
    Serving patients from across New York and around the world with world-class care.

Take the Next Step Toward Parenthood

If you’ve been diagnosed with blocked fallopian tubes, uterine fibroids, or other structural fertility issues, Dr. Jovana Lekovich can help you find answers—and solutions. With expert care and a personalized approach, she helps patients move forward with confidence.

📅 Schedule your consultation today to learn more about your options for tubal and uterine factor infertility treatment in NYC.

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