Doctor insights on:
Hydrosalpinx Treatment Options
Occlusion vs. Remove: Depending on the severity of the hydrosalpinx, the fertility specialist may want to either have it removed or blocked off (occluded where it meets the uterus). Removal is generally recommended to avoid the risk of ectopic pregnancy and chronic pain/infection as well as fertility problems getting and staying pregnant. ...Read more
It depends on cause: If the hydrosalpinx is due to a tubal infection then a 10-14 day course of antibiotics may be all that is needed. However, some cases of hydrosalpinx persist after Rx. Your GYN MD will know the cause and the best approaches for Rx. Based on your examination. ...Read more
What are treatments for hydrosalpinx? I was found to have fluid in my tube but nothing was given to me I was just sent home with nothing
Remove hydro + IVF: Fluid in hydrosalpinx may leak into the uterine cavity and prevent implantation and pregnancy. One possible treatment is surgical correction of hydrosalpinx then attempting to conceive naturally. The chance of obtaining a functional fallopian tube and pregnancy after surgical correction is small. Modern management is laparoscopic excision or interruption of the hydro followed by ivf. ...Read more
Hydrosalpinx: The only treatment for a long standing hydrosalpinx is surgical resection. The longer the condition has exsisted the more likely that the tubal mucosa are damaged and the fallopian tube even if opened surgically will not transport an egg! ...Read more
Can acupunture, massage and herbal blend help cure hydrosalpinx and blocked tubes? Or surgery is the only way?
What are the options for getting pregnant when you have one remaining tube that has hydrosalpinx? The other tube was removed due to an ectopic
Have the tube remove: Removed and do in vitro because the tube that has the hydrosalpinx is most likely totally blocked and if it would be open it will not be normal and most likely would end up with another ectopic which as u know is no good. ...Read more
1tube hydrosalpinx & 5 months pregnant, my concern is if it is caused by std the hydro & didn't have treatment before does it affect the baby at birth?
Complex question: Your OB MD should have run STD testing to rule out "the gift that keeps on giving" when you presented at your 1st or 2nd visit. (STD's) If the hydrosalpinx is not an active infection then it is unlikely to affect the present pregnancy. However, your OB MD may still give you a course of antibiotics to make sure that it won't ...Read more
Yes: It depends on what the treatment was, but definitely a risk to recur. Tuboplasty and salingo-neostomy are terms for conservative treatment of hydrosalpinx by surgically creating a new opening at the far end of the tube. These are definitely subject to closure, with subsequent recurrence. Treatment of hydrosalpinx by removal clearly cannot recur. ...Read more
If causing problems: A hydrosalpinx (blocked and swollen fallopian tube) should be removed if fertility is a concern (for example a naturally or surgically post-menopausal woman who is planning to use an egg donor, or donor embryos). If fertility is not a concern, it should be removed if it causes symptoms, like painful intercourse. ...Read more
From inside the tube: The fallopian tube secretes small amounts of fluid inside itself to bathe the interior in an environment that keeps it moist and healthy and appropriate for a possible fertilization of an egg. If the tube is damaged or blocked, the fluid can accumulate and result in a hydrosalpinx. ...Read more
No: Hsg doesn't cure hydrosalpinx, nor does it reliably open tubal blockages. ...Read more
Not really: It's unlikely, more likely a different interpretation of the study (ultrasound?) ...Read more
Bilateral terminal hydrosalpinx with localised spill in right side and minimal spill in left side means in hsg report?
HSG: It means there is partial blockage of both Fallopian tubes ...Read more
I am a 62 year old menopausal woman diagnosed with a hydrosalpinx about 34x44 and 4.8. There are no symptoms. What should I do?
Possibly observe: A small relatively simple adnexal mass can be observed. I will often do several ultrasound tests to make sure the cyst is stable and not growing, then check ultrasound once a year. What I want to make sure is that the cyst is not ovarian or tubal cancer. If a cyst doesn't grow, is small and simple, negative ca-125, then observation is an option I give my patients. ...Read more
What are the chances of natural conception with a one sided hydrosalpinx? Is trying without intervention a waste of time ages 30?
Pretty decent but...: I would estimate that, presuming your other ovary and fallopian tube is healthy, your chances would be good but it might take twice as long as average (on average couples conceive after 7 months of trying). However, you will also have an increased chance of tubal pregnancy. Some docs would advise removing the hydrosalpinx. It would be wise to consult with an OB-GYN doctor. ...Read more
How come there are women with bilateral hydrosalpinx but patent tubes? Aren't they suppose to be blocked? Can they still get pregnant naturally?
Partly blocked: Great question! The simple answer is that a tube can be only partly blocked and still accumulate fluid. Hydro fluid is made inside the tube and if it's made faster than it can drain, you can still have hydros. ...Read more
Rarely, but may hurt: We mostly treat hydrosalpinx - a fallopian tube that is blocked at the end furthest from the uterus, swollen and fluid-filled - to improve fertility if 1-sided or both sides. Some women with a hydrosalpinx suffer from chronic pelvic pain, including painful intercourse, while others have no symptoms. A hydrosalpinx can get acutely re-infected causing pain and fever: pelvic inflammatory disease. ...Read more
Not uncommon: For a hydrosalpinx (fluid in the tube) to develop the tube must be blocked at two places. A hysterectomy ligates or ties off the tube at the junction with the uterus. If that tube is blocked at another point along its length (which may not be known) then fluid may collect in between the two blockages forming a hydrosalpinx. Most of the time it causes no problems. ...Read more
Yes: It is a contained but chronic source of infection. If it becomes inflames it can irritate the appendix and colon. If it bursts ipen it can cause a life threatening infection. ...Read more
It happens: A hydrosalpinx is just fluid in the remaining piece of tube. It is not a bad thing. Some people have discomfort from it and need to have it removed, but most people don't. ...Read more
Never Recovers: A hydrosalpinx is permanent. It may change, but generally only for the worse. Whether or not surgery is required is based on your symptoms as well as fertility concerns. Sometimes surgery is needed due to pain or infection and sometimes surgery is suggested from to fertility treatment. So a fertility specialist can guide you through that decision making process! ...Read more
I've been diagnanosed with a hydrosalpinx 10 weeks ago it also has bit of blood in it is this bad?
Trying to conceive for only a few months &diagnosed with 3.5cm one-sided hydrosalpinx. Should we keep trying for a full year or seek help sooner? Age 30
Recommend help: The hydro is likely lowering your normal chances of conception; though you may still be bale to conceive naturally. You could wait up to a year but might do better seeking help sooner. Good wishes. ...Read more
What will happen my hydrosalpinx in the left is considered It will be very big problem for me to get pregnant easily What the best way to get pregnant?
I don't want kids and my hydrosalpinx is one-sided, mild & likely the result of a dermoid cyst I had removed age 12 via laparotomy. OK to do nothing?
Yes: If the diagnosis is certain and you are not having severe pain, it is fine to choose not to intervene. A hydrosalpinx isn't a serious problem if there are no symptoms. Best wishes! ...Read more