Abstract
Objective: Numerous studies have demonstrated the negative effect of hydrosalpinges on IVF pregnancy rates.Treatment by either salpingectomy or proximal tubal occlusion prior to IVF has been shown to restore the pregnancy rates to those expected for patient age. It has been hypothesized that fluid contained within the hydrosalpinx has an adverse effect on endometrial receptivity. It has also been reported that pregnancy rates in patients with a unilateral hydrosalpinx treated with neosalpingostomy were higher than patients with bilateral hydrosalpinges treated with neosalpingostomy. We postulated that treatment of a unilateral hydrosalpinx in patients with a normal patent contra-lateral tube may reverse the negative effect on endometrial receptivity, and thus potentially increase the fecundity in those patients. This study reports on the results of treating a unilateral hydrosalpinx by either proximal occlusion, or salpingectomy, on natural cycle fecundity or prior to IVF treatment.
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