title: Rapid reaccumulation of hydrometra after drainage at embryo transfer in patients with hydrosalpinx.
abstract: OBJECTIVE
  To report the occurrence and management of hydrometra at the time of scheduled embryo transfer in two patients who underwent drainage of hydrosalpinges at oocyte retrieval.
  
  
  METHODS
  Case report. University IVF clinic.
  
  
  METHODS
  Two patients with hydrosalpinges visible on ultrasonography who deferred tubal surgery. Although no fluid was seen at the time of oocyte retrieval, hydrometra was noticed and drained before planned embryo transfer (ET).
  
  
  METHODS
  Reoccurrence of hydrometra after drainage.
  
  
  RESULTS
  Rapid reaccumulation of hydrometra despite drainage was seen in both patients, one of whom had reoccurrence in 1 hour. Embryo transfer was deferred until after tubal surgery, and all embryos were cryopreserved.
  
  
  CONCLUSIONS
  In patients with hydrosalpinges, ultrasonography before ET is useful to detect newly developed hydrometra. Aspiration of the uterine fluid is unlikely to help because of rapid reaccumulation of hydrometra. Cryopreservation of the embryos for future transfer after the hydrosalpinx is removed or ligated is recommended.
authors: Department of Gynecology and Obstetrics, Stanford University School of Medicine, Stanford, California 94305, USA. ramiehinckley@yahoo.com
authors: Mary D
authors: MD
authors: Hinckley
authors: Amin A
authors: AA
authors: Milki
mesh_terms: D001826:Body Fluids / Q000378:metabolism*; D015925:Cryopreservation; D004322:Drainage; D004624:Embryo Transfer; D004622:Embryo, Mammalian; D005184:Fallopian Tube Diseases / Q000601:surgery*; D005187:Fallopian Tubes / Q000601:surgery; D005260:Female; D006801:Humans; D011247:Pregnancy; D012008:Recurrence; D013246:Sterilization, Tubal; D014463:Ultrasonography; D014591:Uterine Diseases / Q000000981:diagnostic imaging / Q000378:metabolism*