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Human Reproduction, Vol. 15, No. 12, 2464-2465, December 2000
© 2000 European Society of Human Reproduction and Embryology

Hydrosalpinx and ART

Hydrosalpinges suitable for salpingectomy before IVF

Hervé Dechaud

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. E-mail: hdechaud{at}aol.com

Salpingectomy seems to improve the embryo implantation rate in patients who are undergoing IVF in case of severe tubal pathology. However, many questions remain unclear, especially that of how to determine which patients would benefit from salpingectomy. The evaluation of the severity of the tubal pathology is the main point of this question. Indiscriminate salpingectomy is certainly not the answer and a more accurate evaluation of the endometrial consequences of the tubal pathology would be helpful. According to the history of each woman and specific economic considerations of each country, the moment of removing the pathological tubes could be discussed.

Key words: hydrosalpinx/IVF/salpingectomy/tubal pathology

This debate was previously published on Webtrack on September 6, 2000


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