Comparison of the ongoing pregnancy rate of in vitro fertilisation following tubal occlusion by microcoil placement versus laparoscopic tubal ligation for hydrosalpinges

Chen, Zhi Qin; Ng, Ernest Hung Yu; Chen, Miao Xin; Zhao, Ming; Pan, Jiaping; Chen, Hong; Teng, Xiao Ming

doi:10.1080/14647273.2019.1701204

Cited by 3 publications

(3 citation statements)

References 30 publications

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“…Proximal tubal occlusion with Essure® devices placed hysteroscopically can be considered for specific cases of distorted pelvic anatomy or pelvic adhesions. However, low clinical pregnancy and live birth rates have been reported from the use of tubal occlusion devices [ 10 ]. Salpingostomy was thought to have the advantage of being less invasive and safer than salpingectomy while allowing the woman to attempt natural conception.…”

Section: Discussionmentioning

confidence: 99%

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The time interval between laparoscopic tubal ligation and frozen-thawed embryo transfer does not affect the reproductive outcomes

Fan

Shi

et al. 2023

BMC Pregnancy Childbirth

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Background Hydrosalpinx may decrease implantation and pregnancy rates after embryo transfer. Laparoscopic tubal ligation after embryo freeze and before frozen-thawed embryo transfer (FET) is effective at improving reproductive outcomes for hydrosalpinx patients. This study is to find out the optimal interval between laparoscopic tubal ligation and FET. Methods We retrospectively analyzed 259 infertile women who performed laparoscopic tubal ligation for embryo freeze and FET. Participants were divided into three groups, based on the interval between laparoscopic tubal ligation and FET. Group I: <30 days; Group II: 31– 60 days; Group III: >60 days. Outcomes of cleavage-stage and blastocyst-stage embryo FET were analyzed respectively. Results There was no significant difference in clinical pregnancy rate, live birth rate, implantation rate, biochemical pregnancy rate, ectopic pregnancy rate, miscarriage rate and preterm birth rate among the three groups, in both cleavage-stage and blastocyst-stage embryo FET cycles. In cleavage-stage embryo FET cycle, singleton gestational age was significantly younger in group III (38.11 ± 2.28 weeks) compared with group I (39.29 ± 1.06 weeks, P = 0.001) and group II (38.96 ± 1.05, P = 0.026). Singleton birth weight was significantly heavier in group II (3.65 ± 0.32 Kg) compared with group I (3.38 ± 0.29 Kg, P = 0.001) and group III (3.35 ± 0.60 Kg, P = 0.004). Twin birth weight was significantly heavier in group III (2.72 ± 0.43 Kg) compared to group I (2.23 ± 0.67 Kg, P = 0.002). In blastocyst-stage embryo FET cycles, twin gestational age was significantly younger in group II (34.07 ± 3.18 weeks) compared with group I (35.56 ± 2.27 weeks, P = 0.049) and group III (36.50 ± 1.47 weeks, P = 0.005). Twin birth weight was significantly heavier in group III (2.71 ± 0.39 Kg) compared to group II (2.39 ± 0.67 Kg, P = 0.009). Conclusions The duration of the interval between laparoscopic tubal ligation and FET does not affect the reproductive outcomes; however, it may affect the neonate outcomes to some extent.

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Section: Discussionmentioning

confidence: 99%

“…During laparoscopy, tubal ligation was performed by bipolar diathermy applied at 1 to 1.5 cm away from the corneal section of the fallopian tube. Distal fenestration of the fallopian tube was carried out to release the fluid inside [ 10 ].…”

Section: Methodsmentioning

confidence: 99%

The time interval between laparoscopic tubal ligation and frozen-thawed embryo transfer does not affect the reproductive outcomes

Fan

Shi

et al. 2023

BMC Pregnancy Childbirth

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“…A study has shown that the procedure of salpingectomy is considered to have a negative effect on AMH levels but not on the number of oocytes retrieved 26 . Chen study compared ovarian reserve levels before and after tubal occlusion and concluded that there was no significant difference in ovarian reserve 27 . However, the electrocauterization procedure during salpingectomy is considered to potentially damage periovarian vascular perfusion.…”

Section: Pto Vs Salpingectomymentioning

confidence: 99%

Comparison of salpingectomy and tubal occlusion for hydrosalpinx in in-vitro fertilization outcome

Tjahyadi,

Udayana,

Nisa

et al. 2024

Annals of Medicine &Amp; Surgery

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The occurrence of hydrosalpinx can reduce the success rate of assisted reproductive technology. The laparoscopic salpingectomy and tubal occlusion have been shown to improve in vitro fertilization outcomes in this disease. The primary goal of this review was to assess and compare the IVF outcome following salpingectomy or tubal occlusion in the published literature. We included studies with at least one of the following outcomes: days of controlled ovarian hyperstimulation (COH), retrieved oocyte number, fertilization rates, clinical pregnancy rate, miscarriage rate, or ectopic pregnancy rate. In conclusion, proximal tubal occlusion (PTO) outperforms salpingectomy in terms of fertilization rate while offering no evident advantages in terms of days of COH, retrieved oocytes number, IVF results, or problems in treating hydrosalpinx patients prior to IVF. These data may help clinicians choose the best therapy for patients with hydrosalpinx prior to IVF.

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Management of Hydrosalpinx in the Era of Assisted Reproductive Technology: A Systematic Review and Meta-analysis

Capmas

Suarthana

Tulandi

2021

Journal of Minimally Invasive Gynecology

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To conduct a systematic review and meta-analysis evaluating the effect of hydrosalpinx on pregnancy outcomes, to compare different types of management of hydrosalpinx and their impact on pregnancy rates as well as on the ovarian reserve. Data Sources: Electronic search using Pubmed, EMBASE, Ovid MEDLINE, Google Scholar, ClinicalTrials.gov, and Cochrane Central Register of Controlled Trials and including all published studies that examined tubal infertility and its management (assisted reproductive technology or surgery) as well as the effects on ovarian reserve. The following medical subject headings (Mesh) terms combinations were used: "fallopian tube disease," hydrosalpinx," "tubal or salpinx occlusion or obstruction," "in vitro fertilization," "fallopian tube surgery," "salpingectomy," "salpingostomy," "infertility," "subfertility," "sterility" and "ovarian reserve." Methods of Study Selection: All randomized trials, cohort, and case controls studies were included. We excluded review articles, meeting abstracts, case series and case reports, and abstracts without access to full texts. The search was limited to trials in humans and published in English. Tabulation, Integration, and Results: Our electronic search initially retrieved 6354 articles. Finally, 19 studies were included in the quantitative evaluation of the effects of hydrosalpinx: 23 in the qualitative evaluation and 5 in the quantitative evaluation of different types of hydrosalpinx treatments; and 17 in the quantitative evaluation of ovarian reserve. The presence of a hydrosalpinx was associated with decreased rates of implantation and clinical pregnancy, and increased rates of ectopic pregnancy and miscarriage. Management of hydrosalpinx with salpingectomy, tubal occlusion, or hydrosalpinx aspiration led to better in vitro fertilization pregnancy rates. We found no difference in ovarian response to stimulation after salpingectomy except a decrease in antim€ ullerian hormone compared to no surgery. Conclusions: The presence of hydrosalpinx is associated with decreased pregnancy rate and increased rates of ectopic pregnancy and miscarriage. Management of hydrosalpinx, regardless of the type of treatment, leads to an increased chance of pregnancy.

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Comparison of the ongoing pregnancy rate of in vitro fertilisation following tubal occlusion by microcoil placement versus laparoscopic tubal ligation for hydrosalpinges

Cited by 3 publications

References 30 publications

The time interval between laparoscopic tubal ligation and frozen-thawed embryo transfer does not affect the reproductive outcomes

The time interval between laparoscopic tubal ligation and frozen-thawed embryo transfer does not affect the reproductive outcomes

Comparison of salpingectomy and tubal occlusion for hydrosalpinx in in-vitro fertilization outcome

Management of Hydrosalpinx in the Era of Assisted Reproductive Technology: A Systematic Review and Meta-analysis

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