[Sactosalpinx, one of the factors affecting the results of in vitro fertilization].

The tubal factor of sterility is nowadays already a classical and also the most frequent indication for including the patient in a programme of in vitro fertilization--embryo transfer (IVF-ET) [3]. Tubal sterility has a multifactorial etiology. The causes include unilateral or bilateral sactosalpinx, distal and proximal obstructions, intraluminal or extramural adhesions. In many patients with damaged oviducts who were included in our IVF programme we recorded repeatedly failures despite an adequate ovarian response to the stimulation by menogonadotropins, uncomplicated collection of oocytes, equal numbers of collected oocytes, similar fertilization and embryo transfer of high standard embrya. In this group of patients sactosalpinx was frequently encountered. Recent investigations assume that the presence of sactosalpinx reduces the implantation rate, pregnancy rate, increases early gestation losses and the incidence of extrauterine pregnancies [12, 5, 14]. In the submitted paper the authors evaluated the possible effect of sactosalpinx on the results of the IVF-ET programme.