Human Reproduction, Vol 12, 703-705, Copyright © 1997 by Oxford University Press
M Bloechle, T Schreiner and K Lisse
The presence of hydrosalpinges has been shown to be deleterious in
infertility treatment. Pregnancy rates after in-vitro fertilization (IVF)
with embryo transfer decline considerably. This study concerns a patient
who developed bilateral hydrosalpinges during controlled ovarian
stimulation in preparation for IVF treatment. Transvaginal aspiration of
the tubal fluid was unsuccessful as the tubes refilled within 2 days.
Additionally, on the day of embryo transfer a serometra developed which
could not be seen on the day of oocyte retrieval. The uterine cavity was
evacuated via an embryo transfer catheter and three embryos were
transferred. The serometra reappeared 3 days after embryo transfer. A
pregnancy could not be achieved. The accumulation of fluid in the uterine
cavity during an IVF/embryo transfer cycle is a rare complication of
hydrosalpinges. However, the retrograde flow of tubal fluid may disturb
intrauterine embryo development. This study suggests that the aspiration of
hydrosalpinges and intrauterine fluid accumulation during an IVF cycle is
not beneficial, as the underlying pathology is not cured. Cancellation of
the treatment cycle or cryopreservation of oocytes in the pronucleate stage
and transfer of the cryopreserved oocytes after surgical correction of the
tubes may be better options.
ARTICLES
Recurrence of hydrosalpinges after transvaginal aspiration of tubal fluid in an IVF cycle with development of a serometra
Department of Reproductive Medicine and Endocrinology, University Clinic of Obstetrics and Gynecology, Charite, Humboldt University, Berlin, Germany.
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