Does hydrosalpinx reduce the pregnancy rate after in vitro fertilization?
OBJECTIVE
To determine the effect of hydrosalpinges on the pregnancy rate in an IVF program.


METHODS
Multicentric retrospective analysis of clinical and laboratory data.


METHODS
Two assisted reproductive technology centers in university hospitals.


METHODS
Four hundred forty-three women, under 38 years of age, with pure tubal infertility. The patients were classified into the following five groups: bilateral hydrosalpinges (n = 37), unilateral hydrosalpinx (n = 54), bilateral tubal occlusion (n = 207), unilateral tubal occlusion (n = 55), and severe tubal disease without complete occlusion (n = 90).


METHODS
Pregnancy and implantation rates.


RESULTS
The pregnancy and the implantation rates per transfer (12.3% and 5.4%) obtained by women with bilateral hydrosalpinges are significantly lower than the rates (means = 23.1% and 12%) for all other tubal infertility groups.


CONCLUSIONS
Bilateral hydrosalpinges have a deleterious effect on the outcome of IVF program.
Wainer
R
R
Department of Obstetrics and Gynecology, Poissy Hospital, University of Paris V, France.
Camus
E
E
Camier
B
B
Martin
C
C
Vasseur
C
C
Merlet
F
F
D000328:Adult; D005184:Fallopian Tube Diseases / Q000150:complications*; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D007247:Infertility, Female / Q000209:etiology* / Q000628:therapy; D011247:Pregnancy / Q000706:statistics & numerical data*; D011256:Pregnancy Outcome; D012189:Retrospective Studies