Deleterious effect of the presence of hydrosalpinx on implantation and pregnancy rates with in vitro fertilization.
OBJECTIVE
To determine the effect of the presence of a unilateral or bilateral hydrosalpinx on the outcome with IVF-ET.


METHODS
Retrospective analysis of clinical and laboratory data.


METHODS
Hospital-based private IVF center.


METHODS
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.


METHODS
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%).


CONCLUSIONS
The presence of hydrosalpinx adversely affects the outcome of IVF.
Katz
E
E
Women's Hospital Fertility Center, Department of Gynecology, Greater Baltimore Medical Center, Maryland 21204, USA.
Akman
M A
MA
Damewood
M D
MD
García
J E
JE
D000328:Adult; D010064:Embryo Implantation; D005184:Fallopian Tube Diseases / Q000503:physiopathology*; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D011247:Pregnancy; D011256:Pregnancy Outcome; D018873:Pregnancy Rate; D012189:Retrospective Studies