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Essure® intratubal device placement for Hydrosalpinx in patients undrgoing IVF treatment. A randomized comparison with laparoscopic removal of the hydrosalpinx.

Recruiting
Conditions
Hydrosalpinx, IVF, Essure, Laparoscopy, salpingectomy
Registration Number
NL-OMON24394
Lead Sponsor
VUmc, afdeling Voortplantingsgeneeskunde.
Brief Summary

/A

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Not specified
Target Recruitment
80
Inclusion Criteria

1. Presence of uni- or bilateral hydrosalpinges prior to IVF-ET. A hydrosalpinx is defined as: a distally occluded fallopian tube which was pathologically dilated or became pathologically dilated when patency was tested by hysterosalpingography and/or laparoscopy. The hydrosalpinx should be visible on ultrasound performed midcyclically as these have been associated with the poorest prognosis regarding IVF-ET outcomes [5];

2. Female age ¡Ü 40 years at the time of randomization;

Exclusion Criteria

1. Female age > 40 years at the time of randomization;

2. Pregnancy or suspected pregnancy;

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Clinical pregnancy rate (defined by the demonstration of fetal heart activity on ultrasound).
Secondary Outcome Measures
NameTimeMethod
1. Success rate of proximal tubal occlusion with Essure® devices (demonstrated by HSG);<br /><br>2. Miscarriage rate;<br /><br>3. Implantation rate (defined as number of gestational sacs on ultrasound/ number of embryo¡¯s transferred);<br /><br>4. Ectopic pregnancy rate;<br /><br>5. Multiple pregnancy rate;<br /><br>6. Complications rate;<br /><br>7. Ovarian reserve pre- vs. postsurgery (determined by early follicular serum FSH/AMH as well as antral follicle counts).<br>
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