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Does hydrosalpinx reduce the pregnancy rate after in vitro fertilization? |
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| Authors: | Robert Wainer MD Erick Camus MD Bruno Camier MD Corinne Martin MD Claudine Vasseur MD Françoise Merlet MD |
| Institution: | a Department of Obstetrics and Gynecology, Poissy Hospital, University of Paris V, Poissy, France b Department of Obstetrics and Gynecology, Amiens Hospital, University of Amiens, Amiens, France c Department of Reproductive Biology, Poissy hospital, University of Paris V, Poissy, France |
| Abstract: | Objective: To determine the effect of hydrosalpinges on the pregnancy rate in an IVF program. Design: Multicentric retrospective analysis of clinical and laboratory data. Setting: Two assisted reproductive technology centers in university hospitals. Patient(s): Four hundred forty-three women, under 38 years of age, with pure tubal infertility. The patients were classified into the following five groups: bilateral hydrosalpinges (n = 37), unilateral hydrosalpinx (n = 54), bilateral tubal occlusion (n = 207), unilateral tubal occlusion (n = 55), and severe tubal disease without complete occlusion (n = 90). Main Outcome Measure(s): Pregnancy and implantation rates. Result(s): The pregnancy and the implantation rates per transfer (12.3% and 5.4%) obtained by women with bilateral hydrosalpinges are significantly lower than the rates (means = 23.1% and 12%) for all other tubal infertility groups. Conclusion(s): Bilateral hydrosalpinges have a deleterious effect on the outcome of IVF program. |
| Keywords: | Hydrosalpinx tubal infertility IVF pregnancy |
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