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Aim: To evaluate whether useful treatment unilateral fallopian tube abnormality patients receive spontaneous treatment under primary treatment. Methods: Total of 823 patients with a desire to achieve pregnancy who underwent hysterosalpingography (HSG) were divided into three groups according to their HSG results as follows: normal, unilateral abnormality, and bilateral abnormality. Treatment results (pregnancy rate, spontaneous abortion rate, and multiple pregnancy rate) with or without assisted reproductive technology (ART) were determined and compared. Results: Of the 823 patients, 483 (58.7%) achieved a pregnancy, 95 (19.7%) suffered a spontaneous abortion, 7 (1.4%) had ectopic pregnancies, and 13 (2.7%) had multiple pregnancies. The 483 patients who became pregnant were classified as follows: 432 of 715 (60.4%) in the normal Fallopian tube group; 46 of 90 (51%) in the unilateral abnormality group; and 5 of 18 (28%) in the bilateral abnormality group. No significant difference was found between the groups. Conclusion: There were no significant pregnancy rate differences between the three groups. The study demonstrated that a high pregnancy rate could be achieved with general infertility treatment to unilateral Fallopian tube abnormality patients.

Do Women With Unilateral Fallopian Tube Abnormality Require Assisted Reproductive Technology Treatment As The Primary Treatment?