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Related Experiment Videos

Development of hydrosalpinx during ovulation induction

V L Schiller1, K Tsuchiyama

  • 1Tower Imaging-Century City Hospital Center for Reproductive Medicine, California, USA.

Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine
|November 1, 1995
PubMed
Summary

Hydrosalpinx can develop during ovulation induction for fertility treatments. Increased tubal fluid causes swelling, impacting treatment success and requiring careful monitoring during ovarian stimulation.

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Area of Science:

  • Reproductive Medicine
  • Gynecology
  • Medical Imaging

Background:

  • Ovulation induction for assisted reproductive technologies (ART) like in vitro fertilization-embryo transfer (IVF-ET) and gamete intrafallopian transfer (GIFT) can lead to hydrosalpinx.
  • Hydrosalpinx, characterized by fluid accumulation in the fallopian tubes, can negatively affect ART outcomes.
  • Multihormonal stimulation during ovulation induction can increase tubal secretions, potentially causing tubal distension.

Purpose of the Study:

  • To investigate the incidence and sonographic recognition of hydrosalpinx developing during ovulation induction for ART.
  • To evaluate the timing of hydrosalpinx appearance during serial sonographic monitoring.
  • To confirm sonographic findings with hysterosalpingography or laparoscopy.

Main Methods:

Related Experiment Videos

  • Retrospective chart review of patients undergoing ovulation induction for IVF-ET or GIFT.
  • Serial pelvic sonography to monitor follicular development and identify changes in the fallopian tubes.
  • Confirmation of sonographic findings using hysterosalpingography or diagnostic laparoscopy.

Main Results:

  • Hydrosalpinx developed in 9 out of 316 women (2.8%) during ovulation induction.
  • The majority of cases were unilateral (8/9), with one case of bilateral hydrosalpinx.
  • Hydrosalpinx was not always apparent on initial sonograms but became evident during serial monitoring of follicular development.

Conclusions:

  • Hydrosalpinx is a potential complication of ovulation induction in ART programs.
  • Serial sonography is crucial for detecting hydrosalpinx that may develop during ovarian stimulation.
  • Early recognition of this sonographic finding is vital for appropriate patient management and optimizing ART outcomes.