Ultrasound-guided aspiration of hydrosalpinges is associated with improved pregnancy and implantation rates after in-vitro fertilization cycles

Bradley J. Van Voorhis; Amy E.T. Sparks; Craig H. Syrop; D. W. Stovall

doi:10.1093/humrep/13.3.736

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Ultrasound-guided aspiration of hydrosalpinges is associated with improved pregnancy and implantation rates after in-vitro fertilization cycles

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Ultrasound-guided aspiration of hydrosalpinges is associated with improved pregnancy and implantation rates after in-vitro fertilization cycles

Bradley J. Van Voorhis, Amy E.T. Sparks, Craig H. Syrop and D. W. Stovall

Human Reproduction, Vol.13(3), pp.736-739

03/01/1998

DOI: 10.1093/humrep/13.3.736

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Abstract

Previous reports have shown that the presence of hydrosalpinges may have a detrimental effect on in-vitro fertilization (IVF) outcomes and salpingectomy has been recommended by some authors as a means of improving IVF pregnancy rates. Our first objective was to determine the effect of hydrosalpinges diagnosed by ultrasound on IVF outcomes in our clinic. Our second objective was to examine the effects of aspiration of hydrosalpinges at the time of oocyte retrieval on IVF outcomes. Women with hydrosalpinges (n=34) were compared with women who had tubal disease but no hydrosalpinges (n=124) and were found to have a reduced clinical pregnancy rate (18 % versus 37%, P=0.053), a reduced ongoing pregnancy rate (15 versus 34%, P=0.051), and a reduced implantation rate (7 versus 18%, P=0.003) after IVF procedures. Among women with hydrosalpinges present, 16 had their hydrosalpinges aspirated at the time of oocyte retrieval and 18 did not. Aspiration of hydrosalpinges was associated with a higher clinical pregnancy rate (31 versus 5%, P=0.07), a higher ongoing pregnancy rate (31 versus 0%, P=0.015), and a higher implantation rate (14 versus 1%, P=0.015). This study confirms the association between the presence of hydrosalpinges and poor IVF outcomes. We find that aspiration of hydrosalpinges at the time of oocyte retrieval leads to improved pregnancy rates and may be an acceptable alternative to salpingectomy for treatment of these patients.

Obstetrics and Gynecology

Details

Title: Subtitle: Ultrasound-guided aspiration of hydrosalpinges is associated with improved pregnancy and implantation rates after in-vitro fertilization cycles
Creators: Bradley J. Van Voorhis - University of Iowa
Amy E.T. Sparks - University of Iowa
Craig H. Syrop - University of Iowa
D. W. Stovall
Resource Type: Journal article
Publication Details: Human Reproduction, Vol.13(3), pp.736-739
DOI: 10.1093/humrep/13.3.736
ISSN: 0268-1161
Language: English
Date published: 03/01/1998
Academic Unit: Obstetrics and Gynecology
Record Identifier: 9983557408302771

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