title: Effect of hydrosalpinx on uterine and ovarian hemodynamics in women with tubal factor infertility.
abstract: OBJECTIVE
  To evaluate the effect of hydrosalpinx on uterine and ovarian blood flows in women with tubal factor infertility.
  
  
  METHODS
  In a cross-sectional study at a university teaching hospital, 60 women with hydrosalpinx-related tubal infertility (hydrosalpinx group) were compared with 60 women with male or unexplained infertility (non-hydrosalpinx group). In the mid-luteal (peri-implantation) phase of the cycle, endometrial thickness, uterine and ovarian artery pulsatility index (PI) and resistance index (RI), and endometrial and ovarian volume and 3D power Doppler vascularization index (VI), flow index (FI), and vascularization flow index (VFI) were measured in both groups.
  
  
  RESULTS
  The endometrial VI (p=0.002), FI (p=0.041), and VFI (p=0.018), and ovarian VI (p=0.011), and VFI (p=0.015) were significantly lower in the hydrosalpinx group than in the non-hydrosalpinx group. However, the endometrial thickness, uterine artery PI and RI, ovarian artery PI and RI, endometrial volume, and ovarian volume and FI were not significantly different between the two groups.
  
  
  CONCLUSIONS
  Hydrosalpinx is associated with impaired endometrial and ovarian blood flows which may adversely affect endometrial receptivity and oocyte quality.
authors.affiliation: Department of Obstetrics and Gynecology, Faculty of Medicine, Cairo University, Egypt. Electronic address: dr_akmalelmazny@yahoo.com.
authors.forename: Akmal
authors.initials: A
authors.lastname: El-Mazny
authors.affiliation: Department of Obstetrics and Gynecology, Faculty of Medicine, Cairo University, Egypt.
authors.forename: Wafaa
authors.initials: W
authors.lastname: Ramadan
authors.affiliation: Department of Obstetrics and Gynecology, Faculty of Medicine, Cairo University, Egypt.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Kamel
authors.affiliation: Department of Obstetrics and Gynecology, Faculty of Medicine, Cairo University, Egypt.
authors.forename: Sherine
authors.initials: S
authors.lastname: Gad-Allah
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005184:Fallopian Tube Diseases / Q000000981:diagnostic imaging / Q000503:physiopathology*; D005260:Female; D006439:Hemodynamics / Q000502:physiology*; D006801:Humans; D007247:Infertility, Female / Q000000981:diagnostic imaging / Q000503:physiopathology*; D010053:Ovary / Q000098:blood supply* / Q000000981:diagnostic imaging; D012039:Regional Blood Flow / Q000502:physiology; D018615:Ultrasonography, Doppler, Color; D014599:Uterus / Q000098:blood supply* / Q000000981:diagnostic imaging; D014655:Vascular Resistance / Q000502:physiology
keywords: 3D power Doppler; Hydrosalpinx; Tubal infertility; Uterine and ovarian blood flow