Hydrosalpinx and ART: hydrosalpinges suitable for salpingectomy before IVF.
Salpingectomy seems to improve the embryo implantation rate in patients who are undergoing IVF in case of severe tubal pathology. However, many questions remain unclear, especially that of how to determine which patients would benefit from salpingectomy. The evaluation of the severity of the tubal pathology is the main point of this question. Indiscriminate salpingectomy is certainly not the answer and a more accurate evaluation of the endometrial consequences of the tubal pathology would be helpful. According to the history of each woman and specific economic considerations of each country, the moment of removing the pathological tubes could be discussed.
Dechaud
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Department of Obstetrics and Gynaecology, Reproductive Medicine, CHU Arnaud De Villeneuve School of Medicine, University Montpellier I, 371 avenue du Doyen Gaston Giraud, 34295 Montpellier Cedex 5, France. hdechaud@aol.com.
D010064:Embryo Implantation; D005184:Fallopian Tube Diseases / Q000601:surgery*; D005187:Fallopian Tubes / Q000601:surgery*; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D007247:Infertility, Female / Q000628:therapy; D016896:Treatment Outcome