title: The impact of unilateral salpingectomy on antral follicle count and ovarian response in ICSI cycles: comparison of contralateral side.
abstract: OBJECTIVE
  To determine the impact of salpingectomy on the ovarian reserve. Comparisons are made with the contralateral side in patients with unilateral salpingectomy undergoing intracytoplasmic sperm injection (ICSI) cycles.
  
  
  METHODS
  Patients under 40 with unilateral salpingectomy and without history of ovarian surgery were selected for the multicentre retrospective study. Women with bilateral salpingectomy and history of endometriosis were excluded from the study. Antral follicle count, controlled ovarian hyperstimulation (COH) parameters and number of collected oocytes were the main outcome measures of the study.
  
  
  RESULTS
  A total of 56 patients were eligible for this study. The mean age of the patients was 31.6 ± 4.7 years. The reasons for the salpingectomy were hydrosalpinx (39.3%, n = 22) and ruptured ectopic pregnancy (60.7%, n = 34). The ongoing pregnancy rate per embryo transfer was 30.6%. There was no statistically significant difference between the operated and non-operated sides in antral follicle count (AFC), follicles  ≥ 17 mm and 10-17 mm on day of human chorionic gonadotrophin (hCG), or number of aspirated oocytes. In the subgroup analysis, AFC, number of growing follicles on day of hCG and number of collected oocytes were comparable between the ectopic pregnancy group and hydrosalpinx group.
  
  
  CONCLUSIONS
  The study suggests that salpingectomy is not associated with detrimental effects on AFC and ovarian response.
authors.affiliation: a Department of Obstetrics and Gynecology , Etlik Zubeyde Hanim Women's Health Teaching and Research Hospital , Ankara , Turkey.
authors.forename: Berfu
authors.initials: B
authors.lastname: Demir
authors.affiliation: b Department of Obstetrics and Gynecology , Hacettepe University School of Medicine , Ankara , Turkey , and.
authors.forename: Gurkan
authors.initials: G
authors.lastname: Bozdag
authors.affiliation: c Department of Obstetrics and Gynecology , Yıldırım Beyazıd University School of Medicine , Ankara , Turkey.
authors.forename: Ozlem
authors.initials: O
authors.lastname: Sengul
authors.affiliation: a Department of Obstetrics and Gynecology , Etlik Zubeyde Hanim Women's Health Teaching and Research Hospital , Ankara , Turkey.
authors.forename: Inci
authors.initials: I
authors.lastname: Kahyaoglu
authors.affiliation: b Department of Obstetrics and Gynecology , Hacettepe University School of Medicine , Ankara , Turkey , and.
authors.forename: Sezcan
authors.initials: S
authors.lastname: Mumusoglu
authors.affiliation: b Department of Obstetrics and Gynecology , Hacettepe University School of Medicine , Ankara , Turkey , and.
authors.forename: Dila
authors.initials: D
authors.lastname: Zengin
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D006080:Ovarian Follicle; D065851:Ovarian Reserve; D010062:Ovulation Induction / Q000379:methods*; D011247:Pregnancy; D011274:Pregnancy, Tubal / Q000601:surgery*; D012189:Retrospective Studies; D058994:Salpingectomy / Q000009:adverse effects*; D012488:Salpingitis / Q000601:surgery*; D020554:Sperm Injections, Intracytoplasmic / Q000379:methods*
keywords: Antral follicle count; controlled ovarian stimulation; in vitro fertilization; ovarian reserve; salpingectomy