Tubal and endometrial factors also play an important role in infertility management. Tubal infections causing tubal blocks or tubal damage cause infertility. Chlamydial and tubercular infections are common causes of tubal infections. Tuberculosis can also affect the endometrium causing severe scarring and adhesions and this is an important cause of implantation failure .hence treatment of tubal and endometrial factors is a very important part of infertility management.