“…The presence of HSP during in vitro fertilization and embryo transfer (IVF/ET) is associated with decreased implantation, pregnancy and increased rate of early pregnancy loss (Aboulghar et al, 1998;Zeyneloglu et al, 1998;Camus et al, 1999). Although toxic effects of hydrosalpinx fluid (HF) on mouse embryo development (Mukherjee et al, 1996;Beyler et al, 1997;Murray et al, 1997;Rawe et al, 1997;Sachdev et al, 1997;Koong et al, 1998;Spandorfer et al, 1999;Roberts et al, 1999;Carrasco et al, 2001;de Vantery Arrighi et al, 2001) and human spermatozoa in vitro (Ng et al, 2000) have been documented, the mechanisms underlying the adverse effects are far from understood (Ajonuma et al, 2002). Puttemans and Brosens (1996) and Vasquez et al (1995) proposed three grades of HSP based on the appearance of salpingoscopy.…”