Doctor insights on:
Symptoms Of Hydrosalpinx
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
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 moreSee 3 more doctor answers
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
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
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 moreSee 1 more doctor answer