Hydrosalpinx

Hydrosalpinx is a condition of having a blockage in a women's fallopian tube. Old infection in the fallopian tubes, endometriosis, severe adhesions in the pelvis, and appendicitis can lead to hydrosalpinx. It is treated by doing surgery to remove the affected tube.

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My HSG report says I have bilateral hydrosalpinx. Will this cause trouble for conceiving?

Query: Hi doctor, My HSG report says bilateral hydrosalpinx noted with a free peritoneal spill on the left side. What does this mean? Can I conceive normally? If yes, then how? I have hypothyroidism, which is under control. I take Eltroxin 100 mcg and 75 mcg on alternate days. Please help.  Read Full »


Dr. R Balakrishnan Menon

Answer: Hi, Welcome to icliniq.com. How are you doing? I have seen your report (attachment removed to protect patient identity). In HSG (hysterosalpingogram), only the right tube looks dilated showing no spill of dye. But the left tube is tortuous and shows the spill of dye very well. Let me explain, the t...  Read Full »

If hydrosalpinx in one fallopian tube is left untreated, will another tube also get affected?

Query: Hi doctor, If hydrosalpinx in one fallopian tube is left untreated, will another tube also get affected?Thanks.  Read Full »


Dr. Sameer Kumar

Answer: Hello, Welcome to icliniq.com. The most common causes of hydrosalpinx are pelvic inflammatory disease or pelvic infection. It is advisable to take antibiotics for two weeks before planing salpingectomy. Also, there are high chances that when one fallopian tube is affected, the other tube will ...  Read Full »

Can hydrosalpinx be treated without surgery?

Query: Hello doctor, I have been diagnosed with bilateral hydrosalpinx, and the doctor suggested a bilateral salpingectomy as a treatment option. I just wanted to know the treatment option other than the mentioned one. Kindly help.  Read Full »


Dr. Nikitha Murthy

Answer: Hello, Welcome to icliniq.com. I went through your reports (attachments removed to protect the patient’s identity). Your hysterosalpingogram (HSG) shows dilatation on both sides of the tube with fluid-filled in it. This is called hydrosalpinx. Both the tubes are therefore blocked. ...  Read Full »

Does COVID-19 infection affect the IVF treatment?

Query: Hi doctor, How long does IVF process take with donor eggs? How long it takes to screen the donor? During this COVID-19 second wave outbreak is it good to start IVF cycle?  Read Full »


Dr. Poonguzhali Liston

Answer: Hi, Welcome to icliniq.com. 1) IVF (in vitro fertilization) is an intensive process both emotionally and physically. Even if you are using donor eggs, you will have to take hormones in medication and injections to prepare your endometrium to receive the implant. The process usually starts from the...  Read Full »

Will ovarian cyst or hydrosalpinx cause delay in pregnancy?

Query: Hello doctor, I need a second opinion on my ultrasound result. Transvaginal ultrasound reveals cyst on ovary or hydrosalpinx? Ultrasound was done on day 9 of menstrual cycle. I stopped taking birth control 5 months ago. I am currently not taking any medication. Perhaps you have another opinion...  Read Full »


Dr. Padmesh Jain

Answer: Hello, Welcome to icliniq.com. I have gone through your brief clinical history and the images you have provided. (attachment removed to protect patient identity). Though I would like you to answer a few more questions so as to provide you better diagnosis and suggest appropriate management. Are ...  Read Full »

I have bilateral hydrosalpinx. Can I get pregnant naturally?

Query: Hi doctor, I am 28 years old and married. I am trying to conceive for the last four months but not achieved. I have done blood, all hormones and sugar test. They all are normal. But in TVS test, they have diagnosed that I have bilateral hydrosalpinx. From that, I am so tense. Could I get pregnant n...  Read Full »


Dr. Sameer Kumar

Answer: Hello, Welcome to icliniq.com. The ultrasound reports show that you have hydrosalpinx and bilateral endometriotic ovarian cysts (attachment removed to protect patient identity). Hydrosalpinx indicates a chronic pelvic infection which can be treated with two weeks course of antibiotics and endometr...  Read Full »

Should I take an antibiotic if there is water in the fallopian tube?

Query: Hello doctor,Two days back, I had my laparoscopy. My right tube was found to be dilated and the ports were open. The left one was completely closed and after forceful attempts, it was opened but only a slow progression was there. Now, under the current circumstances, is there any antibiotic for wate...  Read Full »


Dr. R Balakrishnan Menon

Answer: Hello, Welcome to icliniq.com. How are you doing? Water in the tube is hydrosalpinx. This is a collection of the fluid secreted from the lining of the tubes. Usually, if one tube is damaged, the other one will also show some damage. The best antibiotic for genital tract infections is capsule Clin...  Read Full »

Does hydrosalpinx recur after a bilateral tube disconnection?

Query: Hello doctor, I am 36 years old. I had a bilateral hydrosalpinx (HSG) mainly due to endometriosis. I do not have any pain symptoms, and I had a bilateral tubal disconnection to maintain the blood supply to the ovaries. After this, I had IVF but failed. I had HSG again, and I do not know if there was...  Read Full »


Dr. R Balakrishnan Menon

Answer: Hello, Welcome to icliniq.com. I find lots of misunderstandings in the history. From the report you have sent, I can say that your uterus is normal and thereby there will be no problems in undergoing IVF. Once the tubes have been disconnected, how can you still have HSG showing spill in either tu...  Read Full »

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