Hydrosalpinx is a Fallopian tube filled with fluid . It is now recognized that IVF results of patients with Hydrosalpinx
undergoing IVF is only one-half that of women who do not have Hydrosalpinges Moreover, in a prospective,
randomized multicentre trial it was shown that in women who had Hydrosalpinx and had no intervention prior to
IVF, the pregnancy rate was 23.9%, miscarriage rate was 26.3% and live birth rate was only 16.3%; however, in
women whose abnormal Fallopian tubes were removed prior to IVF treatment the corresponding results were 36.6%, 16.2% and 28.6%, respectively. Their live birth rate was significantly higher than the non-treated women.
Why does Hydrosalpinx have an adverse effect on IVF results?
This can most probably be attributed to the TOXIC effect of the fluid in the tube on the implanting embryo and on the endometrial receptivity. There is also a mechanical effect as the fluid actually “flushes” the embryo and interferes with the process of implantation.
As part of the infertility investigation in my Melbourne IVF clinic , I perform various tests to the tubes such as pelvic ultrasound , HSG and laparoscopy to rule out and treat Hydrosalpinx.