Patient's question:
Does tubal hydrops affect implantation during IVF? I have been married for three years and still haven't had children. A few days ago, my husband and I went for a check-up, and they said we need to do IVF. The test results showed tubal hydrops. I would like to ask if tubal hydrops affects implantation during IVF?Doctor's answer:
The Impact of Tubal Hydrops on IVF1. Tubal hydrops can flow from the fallopian tubes into the uterine cavity:
① It may cause hydrosalpinx (uterine cavity), which mechanically interferes with the contact between embryos and the endometrium. During the superovulation process for IVF, tubal hydrops may increase, leading to a larger volume of fluid flowing into the uterine cavity, exacerbating the impact.
② Tubal hydrops contains microorganisms, debris, and toxic substances, which can directly enter the uterine cavity. These substances participate in regulating the movement of the fallopian tubes and uterus, affecting embryo implantation.
③ Tubal hydrops is often caused by infection, usually ascending infection, which damages the endometrium and hinders the implantation of the fertilized egg.
2. The toxic effects of tubal hydrops on embryos:
Toxic substances from tubal hydrops can enter the uterine cavity during embryo transfer, exerting toxic effects on the embryos transferred into the cavity. This impairs their development, reduces their implantation capacity, lowers implantation and pregnancy rates, and increases the risk of miscarriage. Therefore, individuals with tubal hydrops should have the hydrops treated before undergoing IVF.