Proximal tubal occlusion and salpingectomy result in similar improvement in in vitro fertilization outcome in patients with hydrosalpinx

Disparity in assisted reproductive technologies outcomes in black women compared with white women

“…Black women were noted to have increased pelvic pathology (i.e., diagnosis of tubal disorders or uterine factor). Hydrosalpinx and leiomyomata are known to reduce implantation and increase the risk of spontaneous abortion (20,21). Black couples were less likely to have male factor infertility, a diagnosis that can often be successfully treated by intracytoplasmic sperm injection (ICSI).…”

A prospective clinical study of interventional ultrasound sclerotherapy on women with hydrosalpinx before in vitro fertilization and embryo transfer

“…The aspiration of hydrosalpinx by the transvaginal ultrasound guidance method in particular has the obvious advantages of being simple, effective, less invasive, and inexpensive. Although the method is associated with a high recurrence rate, this disadvantage might be overcome by combining aspiration with injection of the sclerosing agent in situ (11)(12)(13)(14).…”

Proximal occlusion of hydrosalpinges by Essure® before assisted reproduction techniques: a French survey

“…The prospective randomised study by Kontovradis [9] studied embryo transfers in 115 women after proximal tubal occlusion by laparoscopy, or salpingectomy, or expectant management. The rates of implantation and clinical pregnancy were similar for the non-expectant techniques and relatively similar to ours (implantation rate of 19.5% for laparoscopic proximal occlusion, 24.8% for salpingectomy, and 29.3% for Essure 1 ; the clinical pregnancy rates were, respectively 44.4, 55.3, and 40.7%).…”

“…Numerous authors [6][7][8][9][10] have demonstrated that salpingectomy can correct this effect by increasing the likelihood of clinical pregnancy (OR = 2.31 95% CI [1.48-3.62]) and probably of live birth. Two studies indicate that proximal tubal occlusion by laparoscopy has an effect similar to that of salpingectomy [9,10].…”

“…This is especially true for woman older than 35 years or when another indication for IVF is present [1,2]. We have known since the end of the 1990s that hydrosalpinx halves the pregnancy rate after IVF of women with tubal infertility [1,3], especially bilateral hydrosalpinges and those visible on ultrasound [4,5].Numerous authors [6][7][8][9][10] have demonstrated that salpingectomy can correct this effect by increasing the likelihood of clinical pregnancy (OR = 2.31 95% CI [1.48-3.62]) and probably of live birth. Two studies indicate that proximal tubal occlusion by laparoscopy has an effect similar to that of salpingectomy [9,10].…”