Numerous studies have shown that the presence of a hydrosalpinx is associated with a poor outcome when performing an IVF cycle. The live birth rate is reduced by 50% with respect to women who do not have a hydrosalpinx.
Another large number of randomized studies have shown that salpinguectomy prior to an IVF cycle improves pregnancy rates and therefore should be actively recommended by practitioners.
The reason for this is because the fluid contained in the hydrosalpinx can adversely affect the embryo (be embryotoxic) and also act detrimentally on endometrial receptivity. There are multiple factors that mediate this negative effect: mechanical factors, microorganisms, endotoxins, cytokines....
For this reason, it is of vital importance to advise our patients to take a surgical approach prior to the treatment cycle. Preferably the surgery will be performed laparoscopically, of the minimally invasive type. Most often, if it is an intervention without any complications, our patient can go home the same day.
It is essential that during surgery the vascular connections between the uterus and ovary are not interrupted, selectively removing the fallopian tube. In this way we minimize or neutralize the damage to healthy ovarian tissue.
