Effect of interventional embolization treatment for hydrosalpinx on the outcome of in vitro fertilization and embryo transfer

Xin Hong, Wen-Bin Ding, Rui-Fan Yuan, Jia-Yi Ding, Jie Jin, Xin Hong, Wen-Bin Ding, Rui-Fan Yuan, Jia-Yi Ding, Jie Jin

Abstract

To explore the effect of interventional embolization treatment for hydrosalpinx on the outcome of in vitro fertilization and embryo transfer (IVF-ET).During the period from January 2013 to January 2015, a total of 129 patients with unilateral or bilateral hydrosalpinx were treated with IVF-ET and selected for retrospective analysis. Seventy-three patients (intervention group) with unilateral or bilateral hydrosalpinx were treated with fallopian tube embolization, which was followed by IVF-ET. During the same period, 56 patients (control group) with unilateral or bilateral hydrosalpinx directly received IVF-ET without receiving any treatment for hydrosalpinx.The clinical pregnancy rate of the control group was significantly lower than that of the intervention group (P < .05), while the abortion rate and ectopic pregnancy rate of the control group were strikingly higher than that of the intervention group (P < .05).Hydrosalpinx can decrease the clinical pregnancy rate of IVF-ET, and increase the incidence of abortion and ectopic pregnancy. The interventional embolization treatment for hydrosalpinx before IVF-ET can improve the clinical pregnancy rate and reduce adverse pregnancy outcome and which, with the advantages of a high success rate, convenient use, low cost, less pain, no anesthetic risk and no effect on the ovarian function it may further be developed for use in the clinic.

Conflict of interest statement

The authors have no conflicts of interest to disclose.

Figures

Figure 1
Figure 1
Pretreatment and post-treatment of interventional embolization. A. Bilateral hydrosalpinx examined by HSG before the operation; B. Microcoil locating in the interstitial section of the bilateral fallopian tube after embolism; C. Microcoil crimp in the isthmus of the fallopian tube and no osmosis of contrast agent to the far-end in reexamining. HSG = hystero-salpingography.

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Source: PubMed

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