Abstract

Background: Hydrosalpinx presence has been shown to affect outcomes of assisted reproductive technology (ART). Due to impaired pregnancy outcomes owing to presence of hydrosalpinx it becomes prudent to remove hydrosalpinx before embryo transfer but sometimes patient characteristics do not allow standard surgeries like laparoscopic salpingectomy possible. Should such patients be denied of embryo transfers or shall be given a chance for pregnancy by using other simpler means? Hydrosalpinx aspiration is one of those simpler procedures which give patients with higher surgical risks especially those with higher suspicion of dense adhesions, a chance to conceive without exposing them for another difficult surgery. Case presentation: A case of 38-year-old nulligravida with primary infertility with history of pelvic surgery presented with left hydrosalpinx which was managed by hydrosalpinx aspiration followed by embryo transfer. Conclusion: Hydrosalpinx aspiration can be an option for patients with higher surgical risks in whom standard treatment for hydrosalpinges like laparoscopic salpingectomy appears risky.