Can Women with Hydrosalpinx Have IVF Successfully?

 

IVF is complex, with a high success rate of 50%, and the general success rate of transplantation is between 20% and 50%. There are many factors affecting the success rate of IVF, including endometrial receptivity and whether the endometrial environment is suitable for blastocyst implantation. In order to improve the success rate of test-tube infants, more examinations and preparations are needed before operation.

 

If hydrosalpinx is found through the examination, can women have IVF successfully? Studies have shown that hydrosalpinx can greatly reduce the success rate of IVF. Why?

 

 

Hydrosalpinx is mostly caused by suppuration due to salpingitis, resulting in tubal blockage, and there will be hydrosalpinx after some time. The effusion can be bilateral or unilateral and can also adhere to the surroundings and cause tubal distortion. This is also the main cause of female infertility and the biggest enemy of IVF. 

 

Hydrosalpinx can connect with or not with the uterine cavity, it can flow back or infiltrate into the uterine cavity. This effusion can change the internal environment of the uterine cavity, affect the receptivity of the endometrium, and lead to a significant reduction in the success rate of transplantation.

 

So if women choose to have IVF, they must first solve the problem of hydrosalpinx. If hydrosalpinx is cured, she can choose to conceive naturally or IVF.

 

Besides, if there is hydrosalpinx, the fertilized eggs can not reach the uterine cavity smoothly, they will stay in the oviduct to continue to grow and develop, not in the right place, leading to ectopic pregnancy. If it is not found in time, the treatment is not prompt, it will threaten women’s life.

 

Treatment

Hydrosalpinx is caused by absorbed suppuration due to salpingitis which is not treated in time. The main examination methods include ultrasound, laparoscopy, salpingography.

 

 

The main methods of treating hydrosalpinx are drug treatment and surgical treatment, among which the cost of drug treatment is lower than that of surgical treatment, while the cost of open surgery in surgical treatment is lower than that of minimally invasive surgery.

 

At present, the best treatment for hydrosalpinx is surgical treatment, because surgical treatment will be more thorough than other treatments. Generally, tubal catheterization is performed, but according to the severity of the patient's conditions, the detailed surgical options are different. Therefore, patients should choose their own surgical plan according to their own conditions, and avoid blindly performing surgical treatment.

 

For those patients with slight hydrosalpinx, especially those with unilateral hydrosalpinx, tubal hydrosalpingectomy is generally preferred. In the clinic, tubal hydrosalpingectomy is generally used to diagnose tubal patency and treat tubal obstruction, which is a relatively safe and easy-to-manipulate treatment method, but it is forbidden for patients whose menstrual cycle disorder has not been corrected. 

 

If the patient is accompanied by adhesion atresia at the umbrella end, the umbrella end of the fallopian tube should be resected under the guidance of laparoscopy, or the umbrella end of the fallopian tube ostomy should be performed.

 

For those patients with severe hydrosalpinx, the proximal tubal occlusion or ligation, distal umbrella resection or ostomy are generally recommended because of the serious and complex condition. Because such operations can lead to infertility, the procedure is only suitable for patients who no longer have the need to conceive.

 

Surgical treatment of hydrosalpinx also has its disadvantage, such as inevitably damaging the blood vessels in the mesosalpinx during the operation, affecting the related functions of the fallopian tube. 

 

 

Moreover, the operation will inevitably damage the function of transporting eggs to the umbrella end, and may also affect the normal physiological function of the ovary. In addition, poor post-operative care can easily cause repeated inflammation. If inflammation is not eliminated completely, it may lead to tubal adhesion and hydrosalpinx again. 

 

Patients who are worried about recurrence after an operation can be consolidated with drugs such as Fuyan Pill. It has the effect of activating blood circulation, removing blood stasis, sterilizing and eliminating inflammation, a good therapeutic effect on hydrosalpinx. 

 

In addition, patients should also carefully consider the pros and cons before choosing surgical treatment. In order to give birth to a healthy baby, it is recommended that patients develop a healthy lifestyle in their daily life, and do a good job of effective prevention.