Rapid reaccumulation of hydrometra after drainage at embryo transfer in patients with hydrosalpinx.
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.
Hinckley
Mary D
MD
Department of Gynecology and Obstetrics, Stanford University School of Medicine, Stanford, California 94305, USA. ramiehinckley@yahoo.com
Milki
Amin A
AA
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*