Bilateral tubal block with hydrosalpinx — pre-IVF management station

Station brief

Format. Communication station, approximately 12 minutes. You are the gynaecology registrar in a fertility clinic. The couple has a clear diagnosis of bilateral tubal block with left hydrosalpinx after HyCoSy. They have been told 'you need IVF' but have little understanding of the pre-IVF preparation. The assessor will feed you cues and observe how you communicate the diagnosis, the salpingectomy option, the trade-off, and the IVF success rate.^[3]

Candidate instruction. Take the couple through the diagnosis of bilateral tubal block with hydrosalpinx, the pre-IVF preparation (salpingectomy), the evidence base (Cochrane), the trade-off (loss of the tube for natural conception), and the IVF success rate. Verbalise the reasoning in plain language. ^[3]