Doctor insights on:
Leaving A Hydrosalpinx Untreated
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
Abnormal fallopian tube: A hydrosalpinx is an abnormal fallopian tube that is swollen and closed off at the fimbriated end. Most hydrosalpinx if small maybe attempted to be opened and repaired. Large hydrosalpinx cannot be repaired and cannot be made functional. ...Read more
Maybe: That is a large hydrosalpinx. Often they are chronically infected and contact infected fluid inside. If it bursts open, it can lead to life threatening infection and hospitalization. However that is not very common. It may also cause you chronic pelvic pain or painful sex and will likely affect fertility. ...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
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
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
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
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
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?
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
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
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
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