ABSTRACT

Does the patient with tubal disease need special consideration? Tubal disease is an indication per se for in vitro fertilisation (IVF), but several IVF centres have demonstrated results of impaired outcome in patients with tubal factor infertility, compared with other infertility diagnoses. This is partly explained by the presence of hydrosalpinx, which is a condition associated with reduced pregnancy and birth rates compared with other types of tubal infertility.1 This chapter focuses on the management of the patient with tubal disease in general and hydrosalpinx in particular.