Optimizing intrauterine insemination and spontaneous conception in women with unilateral hydrosalpinx or tubal pathology: A systematic review and narrative synthesis

CONCLUSIONS: Therapeutic salpingectomy or tubal occlusion improve IUI or spontaneous conception in women with hydrosalpinx, although more prospective studies are needed. While significant study heterogeneity hampered assessment of fertility outcomes, overall, infertile women with PTOs had similar IUI pregnancy outcomes to those with bilateral tubal patency while DTOs had inferior PR/cycle. This review highlights significant deficiencies in the evidence guiding management for this group of patients.PMID:37267890 | DOI:10.1016/j.ejogrb.2023.05.024

Source: Reproductive Biology - June 2, 2023 Category: Reproduction Medicine Authors: Jia Yun Yip Abhiram Kanneganti Nurulhuda Binte Ahmad Mei Xian Karen Lim Siong Lin Stephen Chew Zhongwei Huang Source Type: research