Does fluid accumulation in the fallopian tube affect IVF implantation?

In modern society, more and more couples choose to do in vitro fertilization, because it can increase the possibility of pregnancy between couples and has a certain therapeutic effect on infertility. However, IVF also has a certain probability of failure. For female friends, if there is a problem with the reproductive system, the probability of failure will increase. So if a woman has fluid accumulation in the fallopian tube, will it affect test tube implantation?

The impact of hydrosalpinx on IVF

1. Hydrosalpinx retention fluid changes the internal environment of the uterine cavity and mechanically interferes with the contact between the embryo and the endometrium.

2. The microorganisms and toxic substances contained in the hydrosalpinx affect embryo implantation, reduce embryo implantation rate and pregnancy rate, and increase the miscarriage rate.

3. When hydrosalpinx occurs, the cytokines, prostaglandins, leukocyte chemotactic factors, etc. released by the tissue interact with the endometrium and affect embryo implantation.

4. During transvaginal egg retrieval under ultrasound guidance, the hydrosalpinx may be mistakenly pierced, and the hydrosalpinx may directly contaminate the oocytes, affecting the fertilization of the oocytes and the development of the fertilized eggs.

Strictly speaking, women with fallopian tube rupture are not suitable for IVF surgery. The success rate of in vitro fertilization is very low in itself. If the patient also has hydrosalpinx, the success rate of in vitro fertilization will be even lower.

Therefore, if female friends choose to have IVF, they must first solve the problem of hydrosalpinx. If the problem of hydrosalpinx is solved, they can choose natural conception or IVF surgery.

How to treat hydrosalpinx

1. Laparoscopic examination: Laparoscopy is a method to directly diagnose hydrosalpinx. Under laparoscopy, the adhesions at the fimbria and nearby areas can be seen to determine the function of the fallopian tube. However, because laparoscopy is an invasive examination and relatively expensive, it is often not the first choice of examination and is generally used for treatment after angiography has confirmed the disease.

2. Hysterosalpingography: The principle of hysterosalpingography is similar to that of a camera. First, a flexible tube is inserted into the fallopian tube, and then a picture is taken. The instrument outside can then clearly see the situation inside the fallopian tube. The doctor can use the images to determine whether there are any abnormalities in the fallopian tubes, the extent of the abnormality, and then prescribe the appropriate medicine.

3. Ultrasound examination: Ultrasound examination is an examination using ultrasonic waves. It is usually performed during the acute stage of fallopian tube inflammation. Hydrosalpinx is more obvious on ultrasound. Inflammation of the fallopian tube causes blockage of the fimbria, and the inflammatory exudate accumulates in the lumen of the fallopian tube, making it visible on ultrasound.