IVF Pregnancy and Delivery Following Ultrasound Scan Guided Aspiration of a Left Hydrosalpinx- A Case Report
J E Okohue, J I Ikimalo
Gynescope Specialist Hospital, Rukpakulusi New Layout Rumuokoro, Port Harcourt, Rivers State, Nigeria.
- PMID: 26259161
The presence of hydrosalpinges is known to significantly reduce the pregnancy and implantation rates following in vitro fertilization (IVF). Salpingectomy or laparoscopic tubal occlusion before IVF have been shown to significantly improve pregnancy rates. Aspiration of the hydrosalpinges at the time of oocyte retrieval for IVF had been proposed as a viable alternative. We present a 36- year old nullipara with unilateral hydrosalpinx who declined salpingectomy prior to IVF treatment and subsequently had two failed IVF cycles. She however became pregnant with the third IVF attempt, following transvaginal ultrasound scan guided aspiration of the hydrosalpinx fluid at the time of oocyte retrieval. Large randomized trials are needed to clearly identify the place of ultrasound scan guided aspiration of hydrosalpinges on IVF outcome.
Salpingectomy or laparoscopic tubal occlusion before IVF have been shown to significantly improve pregnancy rates.