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IVF has now become the major treatment for women with hydrosalpinx to achieve a pregnancy. Several studies have shown that IVF patients with untreated hydrosalpinx have lower conception rates than controls and it has been speculated that the tubal fluid that enters the endometrial cavity alters the local environment or affects the embryo in a ...
Treatment of fallopian tube obstruction has traditionally been treated with fallopian tubal surgery with a goal of restoring patency to the tubes and thus possibly normal function. A common modern day method of treatment is in vitro fertilization as it is more cost-effective, less invasive, and results are immediate.
A number of causes may account for a hematosalpinx, by far the most common being a tubal pregnancy. Blood may also escape into the peritoneal cavity leading to a hemoperitoneum. A hematosalpinx can also be associated with endometriosis or tubal carcinoma.
Tubal obstruction and hydrosalpinx are commonly seen as well. Other techniques include laparoscopic chromopertubation , salpingoscopy, and transvaginal hydrolaparoscopy (the latter allows visualization of the tubal mucosa) [ 5 ]
Salpingectomy was performed by Lawson Tait in 1883 in women with a bleeding ectopic pregnancy; it is now established as a routine and lifesaving procedure [clarification needed]. Other indications for a salpingectomy include infected tubes (as in a hydrosalpinx) or as part of the surgical procedure for tubal cancer. [citation needed]
When given as long-acting implants, these cause “medical castration,” that is, the complete suppression of reproductive activity and the suppression of sex steroids. They have been shown to be effective in both dogs and cats. Compounds that bind and block the GnRH receptor can also cause suppression of fertility and sex steroids.
They found that about 50% of patients delivered a live baby. The rates for ectopic pregnancy was 2.7%, for miscarriage 34%, and for preterm delivery 20%, while the intrauterine demise rate was 10%. [2] Thus patients with a unicornuate uterus are at a higher risk for pregnancy loss and obstetrical complications.
A sensitive serum pregnancy test is typically obtained to rule out ectopic pregnancy. Culdocentesis will differentiate hemoperitoneum (ruptured ectopic pregnancy or hemorrhagic cyst) from pelvic sepsis (salpingitis, ruptured pelvic abscess, or ruptured appendix). [28] Pelvic and vaginal ultrasounds are helpful in the diagnosis of PID.