Our work consisted in the study included ten infertile couples between July 1989 and May 1990, of which the average age of the patients was 34.6 years (2742) with a duration of 6.4 years Sterility (3-15 ). The cause of sterility in 100% of 108 cases was bilateral tubal obstruction, eight of which as a result of severe adherence syndrome as a result of previous surgery, either gynecological or general surgery interventions (Appendectomies, peritonitis, etc.), in one case associated with mild endometriosis and the latter is the result of genital tuberculosis.