AMA Criteria for Permanent Impairment Associated with Fallopian Tube and Ovarian Disease

Disease of the fallopian tube and ovary can result in permanent impairment that can be quantified using the AMA criteria.

Parameters:

(1) signs and symptoms

(2) need for treatment

(3) major functional or anatomic loss

Signs and symptoms of fallopian tube and ovarian disease:

(1) vaginal bleeding or discharge

(2) fallopian tube stenosis or obstruction

(3) pelvic mass

(4) neoplasm

(5) fever and abdominal pain (salpingitis or tubo-ovarian abscess)

(6) absent or abnormal ovulation, infertility

(7) abnormal hormone secretion

(8) menstrual dysfunction

Signs and Symptoms	Therapy	Nonintentional Loss	Impairment of the Whole Person
none	none	none	0%
mild	none or intermittent	premenopausal with only 1 functioning tube or ovary; postmenopausal with bilateral functional loss	0 - 15%
moderate	continuous	tubal patency persists and ovulation is possible	16 – 25%
severe	ineffective	premenopausal with bilateral anatomic loss, anovulation or bilateral tubal occlusion	26 - 35%

where:

• Intentional bilateral tubal occlusion for contraception would not infer impairment.

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