Open AccessOptimal time interval between laparoscopic tubal ligation for hydrosalpinges and ICSI-ET
Author(s) -
Murat Berkkanoğlu,
Kemal Özgür,
Kevin Coetzee
Publication year - 2014
Publication title -
middle east fertility society journal/middle east fertility society journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.322
H-Index - 18
eISSN - 2090-3251
pISSN - 1110-5690
DOI - 10.1016/j.mefs.2013.11.004
Subject(s) - medicine , hydrosalpinx , pregnancy rate , tubal ligation , laparoscopy , pregnancy , gynecology , infertility , laparoscopic surgery , salpingectomy , obstetrics , surgery , ectopic pregnancy , population , research methodology , genetics , environmental health , family planning , biology
Objective: To determine the optimal time interval between performing laparoscopic tubal ligation for hydrosalpinges and an ICSI-ET treatment cycle.Design: A retrospective cohort study.Setting: Private infertility clinic.Patient(s): The study group included 69 infertile women who had laparoscopic tubal ligation for hydrosalpinges. 41 patients (group A) had an ICSI-ET cycle <10 weeks after laparoscopic tubal surgery, 20 patients (group B) had an ICSI-ET cycle 10 and 16 weeks after surgery, and 20 patients (group C) had an ICSI-ET cycle >16 weeks after surgery.Intervention(s): laparoscopic tubal ligation and ICSI-ET.Main outcome measure(s): Pregnancy rate, clinical pregnancy rate and implantation rate.Result(s): Pregnancy rates were 39%, 50% and 50%, clinical pregnancy rates 31.7%, 45% and 50%, and implantation rates 14.8%, 21.5% and 18% for groups A, B and C respectively.Conclusion(s): Although the reduction in pregnancy rate, clinical pregnancy rate and implantation rate in Group A, as compared Groups B and C, did not reach statistical significance, our results suggest that ICSI-ET treatment cycles be postponed for at least 10 weeks after laparoscopic tubal ligation for hydrosalpinx. A larger prospectively randomized study should be conducted to confirm the minimum delay period required for endometrial receptivity to recover