title: Salpingectomy improves outcome in the presence of a unilateral hydrosalpinx in a donor oocyte recipient: a case report.
abstract: OBJECTIVE
  To determine if unilateral salpingectomy for hydrosalpinx can improve fecundity in a woman with many cycles of failure to conceive despite the fertilization of donor oocytes and subsequent embryo transfer.
  
  
  METHODS
  Salpingectomy performed after failure to conceive despite IVF-ET with the patient's own oocytes (n=5) or transfer of donor embryos (n=2) or embryo transfer cycles as a donor oocyte recipient (n=5).
  
  
  RESULTS
  The patient conceived three of four times following salpingectomy. Transfer of four frozen-thawed donor embryos and two frozen-thawed embryos of her own led to a successful delivery. In one of two cycles as a donor oocyte recipient she had a successful delivery and subsequently, the transfer of cryopreserved/thawed embryos from a previous donor oocyte cycle led to a chemical pregnancy.
  
  
  CONCLUSIONS
  Unilateral hydrosalpinx can be a cause of recalcitrant failure to conceive despite assisted reproductive technology. Salpingectomy can restore fecundity.
authors.affiliation: The Pennsylvania State College of Medicine, The Milton S. Hershey Medical Center, Hershey, USA.
authors.forename: D G
authors.initials: DG
authors.lastname: Kiefer
authors.forename: J H
authors.initials: JH
authors.lastname: Check
mesh_terms: D000328:Adult; D004624:Embryo Transfer; D005184:Fallopian Tube Diseases / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005298:Fertility / Q000502:physiology*; D005307:Fertilization in Vitro; D006801:Humans; D018587:Oocyte Donation; D011247:Pregnancy; D011256:Pregnancy Outcome