Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2012 Jan 1;2012(1):8.
doi: 10.1093/jscr/2012.1.8.

Endometrial appearance in the presence of communicating hydrosalpinx

Rj Heitmann  1 , Ro Burney  1
Affiliations

Endometrial appearance in the presence of communicating hydrosalpinx

Rj Heitmann et al. J Surg Case Rep. .

Abstract

We report the hysteroscopic findings in a 22 year old nulligravid patient with bilateral communicating hydrosalpinges. The inflamed hyperemic endometrial cavity encountered preoperatively normalized at second look hysteroscopy six months after bilateral tubal interruption. The patient underwent successful IVF with culmination in a singleton, live birth. We propose that an inflamed appearance at hysteroscopy, done for endometrial cavity screening, should prompt a dedicated study to rule out hydrosalpinx prior to proceeding with IVF treatment. To date, such a hysteroscopic endometrial phenotype in the presence of hydrosalpinx has not been well characterized.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Hysterosalpingogram demonstrating bilateral distal tubal occlusion with hydrosalpinges
Fig. 2
Fig. 2
Hysteroscopic appearance of endometrial cavity immediately pre-salpingectomy (A) and six months after interruption of communication with hydrosalpinges (B). For each series, images from left to right depict right cornual, fundal and left cornual regions, respectively.
See this image and copyright information in PMC

References

    1. Anderson AN, Yue Z, Meng FJ, et al. Low implantation rate after in-vitro fertilization in patients with hydrosalpinges diagnosed by ultrasonography. Human Reprod 1994;9:1935–1938 - PubMed
    1. Speroff L, Fritz M. Clinical Gynecologic Endocrinology and Infertility. Lippincott Williams and Wilkins. 7th edition. 2005
    1. Ozman B, Diedrich K, Al-Hasani S. Hydrosalpinx and IVF: assessment of treatments implemented prior to IVF. Reprod Biomed 2007;14:235–241 - PubMed
    1. Anjonuma LC, Chan LN, Ng EH. Characterization of epithelial cell culture from human hydrosalpinges and effects of its conditioned medium on embryo development and sperm motility. Human Reprod. 2003;11:1013–1014 - PubMed
    1. Savarias RF, Giudice LC. The influence of hydrosalpinx on markers of endometrial receptivity. Sem Reprod Med. 2007;25:476–482 - PubMed