Surgical Preparation of the Patient for In Vitro Fertilization

Eric S. Surrey
In: Infertility and Assisted Reproduction · 2008 · pp. 361–370 · doi:10.1017/cbo9780511547287.042 · W2491314118
book-chapter OA: closed CC0
View on OpenAlex View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This paper reviews how reproductive surgery for tubal abnormalities, endometriosis, and fibroids, including salpingectomy, proximal tubal occlusion, and fibroid resection, impacts in vitro fertilization outcomes.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This chapter reviews evidence on how reproductive surgery for tubal abnormalities, endometriosis, and uterine fibroids affects IVF cycle outcomes, focusing on whether surgery can serve as an alternative or an adjunct to assisted reproductive technologies. For distal tubal disease, the authors highlight that hydrosalpinges are associated with lower pregnancy, implantation, and delivery rates, including odds ratios from a meta-analysis comparing patients with hydrosalpinges versus tubal-factor controls without them. A major caveat noted is that at least one included investigation found no difference in pregnancy or implantation, potentially confounded by especially low implantation and ongoing pregnancy rates in the control group. Relevance to endometriosis: this chapter explicitly includes a dedicated subsection on “Endometriosis and Assisted Reproductive Technology,” situating the surgical preparation discussion in the broader context of IVF management for endometriosis.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

This chapter reviews the evidence surrounding the effect of reproductive surgery for tubal abnormalities, endometriosis, and uterine fibroids on in vitro fertilization (IVF) cycle outcome. Salpingectomy and proximal tubal occlusion are two surgical options in the treatment of distal tubal disease. Proximal tubal occlusion represents a significantly less invasive approach, which requires less surgical dissection and operating time while still eliminating retrograde flow of hydrosalpingeal fluid into the endometrial cavity. Consideration should be given to resection of submucosal fibroids and intramural lesions that distort directly impinge upon the endometrial cavity prior to IVF. Pregnancy rates achieved with assisted reproductive technology (ART) have increased progressively in recent years, and in endometriosis, patients achieve levels of success that are significantly higher than those obtained with alternative therapies. The prolonged use of a GnRH agonist, in at least a subset of endometriosis patients, appears to improve IVF cycle outcome.

My notes (saved in your browser only)

Condition tags

endometriosis

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (100)

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
License: CC0 · commercial use OK