A case report to influence therapeutic philosophy when presented with the findings on laparoscopy of a unilateral hydrosalpinx with a contralateral diseased but patent fallopian tube without hydrosalpinx.

PURPOSE: To determine if a patent fallopian tube associated with hydrosalpinx can be associated with unexplained implantation failure of morphological superior embryos.

METHODS

Salpingectomy was performed on a woman with a patent fallopian tube who had failed to conceive despite the previous transfer of 27 superior quality embryos. A single embryo was transferred using minimal stimulation.

RESULTS

Conception and normal delivery occurred.

CONCLUSIONS

A patent tube with a hydrosalpinx may be associated with failure of embryos to implant. Salpingectomy can correct this defect.