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Human Reproduction, Vol. 15, No. 2, 234-235, February 2000
© 2000 European Society of Human Reproduction and Embryology

Debates Continued

What effect does hydrosalpinx have on assisted reproduction?: The role of salpingectomy remains controversial

H. Dechaud1 and B. Hedon

Department of Obstetrics and Gynaecology, Reproductive Medicine, CHU Arnaud De Villeneuve, School of Medicine, University Montpellier I, 371 Avenue du Doyen Gaston Giraud, 34295 Montpellier cedex 5, France

We read with great interest the debate article by Lass (1999) in which the author discusses the effect of untreated hydrosalpinges on the outcome of in-vitro fertilization (IVF), together with possible related mechanisms to explain the poor prognosis of IVF treatment. Although these mechanisms remain unclear, the question is no longer the detrimental effect untreated hydrosalpinges have on IVF outcome, but how do we need to treat hydrosalpinges in order to improve the prognosis of IVF? Several methods, e.g. medical treatment, drainage of the hydrosalpinges or clamping of the proximal part of the tube, have been described in the literature. None of these have clearly demonstrated an improvement in IVF results in terms of embryo . . . [Full Text of this Article]

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