
Uterine & Tubal Health
Natural Fertility Solutions Without IVF
IVF is not always the solution to have a baby!
At RFC, we think that 40% of IVF cycles in the world are NOT necessary. Many women are advised to move straight to IVF without a thorough evaluation of their uterine health for implantation— yet for the right candidates, less invasive treatments can restore fertility and allow for natural conception or conception with IUI.
Tubal Recanalization for Blocked Fallopian Tubes
Tubal recanalization is a minimally invasive procedure used to reopen blocked fallopian tubes, a common cause of infertility. If your tubes are blocked, sperm and egg cannot meet — but IVF is not always the only solution. This procedure clears mucus, debris, or minor scar tissue that may be preventing pregnancy, restoring the possibility of natural conception or conception with IUI.
Quick
Procedure
Takes approximately 30 minutes with no incisions required
High Success Rate
Up to 100% technical success rate when blockage is near the uterus
Same-Day Recovery
Most patients return to normal activities the same day

Who May Benefit from Tubal Recanalization?
Tubal blockage is more common in women with a history of sexually transmitted infections (STIs), endometriosis, prior pelvic or abdominal surgery, or unexplained infertility with suspected tubal factors. Tubal recanalization works ONLY when the blockage is close to the uterine cavoty (called proximal area)
How Is the Procedure Performed?
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A tiny catheter is gently passed through the cervix using hysteroscopic guidance
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The blockage is identified and cleared
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No incisions are required
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Minimal discomfort during and after
What to Expect
The procedure is performed with light sedation in an outpatient setting. Using advanced imaging, our specialists carefully navigate to the blockage site and restore tubal patency. For many women, this restores the ability to conceive naturally or with IUI, avoiding the need for IVF.
Detailed Hysteroscopy to Improve Uterine Health and Implantation
A detailed hysteroscopy is a gynecologic procedure that allows the physician to closely examine and treat the inside of the uterus using a thin, lighted instrument called a hysteroscope. At RFC, we take hysteroscopy beyond basic diagnostics — carefully identifying and correcting subtle uterine abnormalities that may interfere with implantation or pregnancy.
Uterine Cavity
Direct visualization of the entire uterine environment
Endometrial Lining
Assessment of tissue quality and receptivity
Tubal Openings
Examination of tubal ostia for proper function

Why Uterine Evaluation Is Critical for Fertility
The uterus plays a critical role in fertility. Even small, previously undetected abnormalities can prevent pregnancy or cause miscarriage. A detailed hysteroscopy allows direct visualization of conditions that standard imaging may miss.
1. Implantation Failure
Identifying barriers to successful embryo attachment
2. Recurrent Miscarriages
Detecting structural issues causing pregnancy loss
3. Intrauterine Adhesions
Treating Asherman's syndrome and scar tissue
4. Polyps & Fibroids
Removing growths that interfere with conception
5. Uterine Anomalies
Correcting congenital structural variations
6. Abnormal Bleeding
Diagnosing and treating irregular patterns
What Makes RFC's Hysteroscopy "Detailed"?
Our approach includes high-resolution imaging to detect subtle abnormalities, saline infusion for enhanced visualization, operative tools to treat issues during the same procedure, and a specialized outpatient setting for precision and safety. The procedure is done under IV sedation anesthesia.
What to Expect During a Detailed Hysteroscopy Procedure
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Preparation: Done under light sedation.
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Dilation: The cervix may be gently dilated to allow insertion of the hysteroscope.
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Visualization: Saline is used to distend the uterus for better visibility.
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Examination/Treatment: RFC doctor inspects the cavity, documents findings, and treat abnormalities immediately.
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Recovery: Typically minimal downtime, though cramping or light bleeding is common for 1–2 days.
How Long Does a Hysteroscopy Take?
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Diagnostic hysteroscopy: 10–15 minutes
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Detailed or operative hysteroscopy: ~30 minutes, depending on treatment needed

Why Choose RFC for Uterine and Tubal Care
RFC specializes in personalized fertility care that prioritizes restoring natural reproductive function. We serve patients worldwide, with up to 60% of our patients traveling from outside the NY area to receive our specialized care. Our approach emphasizes thorough evaluation, precise treatment, and affordability.


IUI Becomes an Effective Alternative to IVF
Once uterine and tubal health are restored, many patients can successfully conceive with intrauterine insemination (IUI) — a less invasive and more affordable option compared to IVF. IUI works by placing specially prepared sperm directly into the uterus during ovulation, increasing the chances of fertilization.
Benefits of IUI After Restoration
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Less costly than IVF
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Less invasive than IVF
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Preserves natural conception process
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Lower medication requirements
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Fewer side effects and complications
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Fewer chemicals into your body
60%
Cost Savings
IUI costs significantly less than a single IVF cycle
2-3
Typical Cycles
successful pregnancies occur within 2-3 IUI attempts
