A case report to influence therapeutic philosophy when presented with the findings on laparoscopy of a unilateral hydrosalpinx with a contralateral diseased but patent fallopian tube without hydrosalpinx.
OBJECTIVE
To determine if a patent fallopian tube associated with hydrosalpinx can be associated with unexplained implantation failure of morphological superior embryos.


METHODS
Salpingectomy was performed on a woman with a patent fallopian tube who had failed to conceive despite the previous transfer of 27 superior quality embryos. A single embryo was transferred using minimal stimulation.


RESULTS
Conception and normal delivery occurred.


CONCLUSIONS
A patent tube with a hydrosalpinx may be associated with failure of embryos to implant. Salpingectomy can correct this defect.
Katsoff
B
B
The University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, Camden, NJ, USA.
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D000328:Adult; D004624:Embryo Transfer; D005186:Fallopian Tube Patency Tests; D005187:Fallopian Tubes / Q000473:pathology* / Q000601:surgery*; D005260:Female; D005640:Follicle Stimulating Hormone / Q000627:therapeutic use*; D006801:Humans; D007247:Infertility, Female / Q000628:therapy*; D010535:Laparoscopy / Q000379:methods; D008183:Luteal Phase / Q000187:drug effects; D011247:Pregnancy; D011256:Pregnancy Outcome; D012680:Sensitivity and Specificity
D005640:Follicle Stimulating Hormone