Schedule an Appointment. Doctors most often use a hysterosalpingogram to diagnose hydrosalpinx. This is an X-ray type of evaluation of the fallopian tube using a thin catheter inserted through the cervix and uterus to inject a dye that reveals the outline of the fallopian tube.
A series of X-ray images shows the filling of the fallopian tubes, revealing to the physician whether the fallopian tubes are blocked. Doctors may also be able to see that the fallopian tube is enlarged using an ultrasound imaging test. Laparoscopy surgery , in which a small tube with a camera is inserted through small incisions in the belly, allows the surgeon to administer dye that can show if the fallopian tube is blocked by hydrosalpinx. Using minimally invasive surgery known as salpingostomy, surgeons can remove the damaged and enlarged areas of the fallopian tube by cutting them off and taking them out.
They can also reopen the sealed end of the fallopian tube. Removing the tube entirely is also an option, which is called a salpingectomy. Sperm travel from the vagina through the uterus and will eventually meet the egg in one of the two tubes. Fertilization is when the egg and sperm join together to form an embryo fertilized egg. The embryo travels through the tube into the uterus. When it reaches the uterus, it can start attaching to the wall of the uterus and develop into a baby. Damage and blockage of the end portion of a fallopian tube can cause it to become filled with fluid; the swollen and fluid-filled tube is called a hydrosalpinx.
A normal pregnancy in the uterus may not occur because the tube may be severely damaged and blocked and not work properly. A pregnancy may develop in the tube ectopic pregnancy which can be life-threatening.
In addition, as the tube is blocked, secretions that collect in the tube may backflow into the uterus and prevent a pregnancy from implanting into the uterus. In this procedure, the patient is given fertility drugs to stimulate egg production.
The eggs are then retrieved with a needle during a surgical procedure, and fertilized with sperm in a lab. Your surgeon may or may not recommend removing the hydrosalpinx before starting IVF.
If you believe you are experiencing symptoms of, or suffering from Hydrosalpinx, or have questions about it, please see your doctor.
We also invite you to establish care with Dr. Please click here to make an appointment or call us at What is Hydrosalpinx?
Hydrosalpinx Causes A hydrosalpinx occurs when the fallopian tube has been damaged or if there is a blockage at the end of the fallopian tube.
Hydrosalpinx and Infertility? Symptoms of Hydrosalpinx In many cases, hydrosalpinx produces no symptoms. Hysterosalpingogram HSG This imaging technique involves introducing liquid into your uterus and then using x-ray imaging to detect where the liquid is able to flow.
Ultrasound An ultrasound may be able to detect a swollen fallopian tube. Laparoscopy A laparoscopy is a minimally invasive surgical intervention technique in which the doctor makes a small incision in the abdomen and inserts a narrow, flexible, instrument called a laparoscope. Treatment Options of Hydrosalpinx Your doctor may repair the hydrosalpinx by making an incision into it, reopening the sealed end this is called salpingostomy ; other procedures such as needle drainage, may be used.
Pregnancy and Hydrosalpinx Technically speaking, it is possible to conceive with just one open tube, as may be the case if you have one hydrosalpinx tube and the other is healthy. Depending on your condition and your personal medical history, your gynecologist may recommend: Surgical Treatment of Hydrosalpinx In some cases, the blockage can be surgically removed to open the tubes.
About Latest Posts. Follow me. Highly-trained and honored by the medical community, Dr. Damage to this tiny and delicate passageway can inhibit conception and pregnancy. Hydrosalpinx usually affects both fallopian tubes, even when only one tube is affected, there is usually some residual damage to the other.
Hydrosalpinges when both tubes are affected is a very severe form of tubal damage and pregnancy is usually only achieved with In Vitro Fertilization. IVF bypasses the tubes altogether. Hydrosalpinx commonly results from a long-untreated infection in the fallopian tubes.
A number of situations may lead to fallopian tube infection, including:. The inflammation and healing process resulting from such infection destroys the delicate finger-like fimbria, which extend from the end of the fallopian tube to the ovary.
Fimbria are responsible for carrying the egg to waiting sperm and moving egg and sperm together for fertilization. When injured, fimbria become fused together, thus closing off the tubes. Fluid then collects in the fallopian tubes, making it impossible for them to function.
There are several ways to diagnose a hydrosalpinx. Because fallopian tubes are very tiny, all of these methods use some form of X-ray or camera to clearly view the anatomy:. In this procedure, a narrow probe is inserted into the vagina. Ultrasound technology uses sonar or high frequency sound waves to produce a real-time image of the fallopian tubes.
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