Development of hydrosalpinx during ovulation induction

We have observed that hydrosalpinx develops in some patients undergoing ovulation induction as part of in vitro fertilization-embryo transfer and gamete intrafallopian transfer programs. Increased tubal secretions due to multihormonal stimulation causes a blocked tube to distend by the time of oocyt...

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Bibliographic Details
Published inJournal of ultrasound in medicine Vol. 14; no. 11; p. 799
Main Authors Schiller, V L, Tsuchiyama, K
Format Journal Article
LanguageEnglish
Published England 01.11.1995
Subjects
Adult
Dilatation, Pathologic - diagnostic imaging
Fallopian Tube Diseases - diagnostic imaging
Fallopian Tubes - diagnostic imaging
Fallopian Tubes - pathology
Female
Humans
Middle Aged
Ovulation Induction
Retrospective Studies
Ultrasonography
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Summary:We have observed that hydrosalpinx develops in some patients undergoing ovulation induction as part of in vitro fertilization-embryo transfer and gamete intrafallopian transfer programs. Increased tubal secretions due to multihormonal stimulation causes a blocked tube to distend by the time of oocyte harvest. In a subset of women, hydrosalpinx was not identified on initial pelvic sonograms. Hydrosalpinx became apparent during serial sonography to monitor follicular development. We performed a retrospective chart review of these cases in order to confirm this finding with hysterosalpingography or laparoscopy. Nine of 316 women developed unilateral (eight cases) or bilateral hydrosalpinx (one case) during stimulation. Recognition of this sonographic finding is important to the referring physician because it has important therapeutic and outcome implications.
ISSN:0278-4297
DOI:10.7863/jum.1995.14.11.799