Deleterious effect of the presence of hydrosalpinx on implantation and pregnancy rates with in vitro fertilization

Fertil Steril. 1996 Jul;66(1):122-5. doi: 10.1016/s0015-0282(16)58398-8.

Abstract

Objective: To determine the effect of the presence of a unilateral or bilateral hydrosalpinx on the outcome with IVF-ET.

Design: Retrospective analysis of clinical and laboratory data.

Setting: Hospital-based private IVF center.

Patients: Eight hundred forty-six patients with tubal disease younger than age 40 years undergoing 1,766 stimulation cycles. In 118 cycles, a hydrosalpinx was noted sonographically (group I) whereas, in 1,648 cycles, no such image was documented.

Main outcome measures: Pregnancy and implantation rates.

Results: Group I displayed a significantly lower pregnancy rate per transfer than group II (16.84% versus 36.83%) and a lower implantation rate (3.92% versus 11.53%).

Conclusion: The presence of hydrosalpinx adversely affects the outcome of IVF.

MeSH terms

  • Adult
  • Embryo Implantation*
  • Fallopian Tube Diseases / physiopathology*
  • Female
  • Fertilization in Vitro*
  • Humans
  • Pregnancy
  • Pregnancy Outcome
  • Pregnancy Rate
  • Retrospective Studies