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| Year : 2015 | Volume
: 22
| Issue : 2 | Page : 123-125 |
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IVF pregnancy and delivery following ultrasound scan guided aspiration of a left hydrosalpinx - A case report
JE Okohue1, JI Ikimalo2
1 Gynescope Specialist Hospital; Port Harcourt Fertility Centre, Port Harcourt, Rivers State, Nigeria
2 Department of Obstetrics and Gynaecology, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State, Nigeria
Correspondence Address:
J E Okohue
Gynescope Specialist Hospital; Port Harcourt Fertility Centre, Port Harcourt, Rivers State
Nigeria
 Source of Support: None, Conflict of Interest: None  | Check |
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The presence of hydrosalpinges is known to significantly reduce the pregnancy and implantation rates following in vitro fertilization (IVF). Salpingectomy or laparoscopic tubal occlusion before IVF have been shown to significantly improve pregnancy rates. Aspiration of the hydrosalpinges at the time of oocyte retrieval for IVF had been proposed as a viable alternative. We present a 36year old nullipara with unilateral hydrosalpinx who declined salpingectomy prior to IVF treatment and subsequently had two failed IVF cycles. She however became pregnant with the third IVF attempt, following transvaginal ultrasound scan guided aspiration of the hydrosalpinx fluid at the time of oocyte retrieval. Large randomized trials are needed to clearly identify the place of ultrasound scan guided aspiration of hydrosalpinges on IVF outcome.
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