Understanding Hydrosalpinx and Hematosalpinx

Hydrosalpinx.pdf

Download PDF • 635KB

What is Hydrosalpinx/hematosalpinx?

Hydrosalpinx or hematosalpinx is a condition where a fallopian tube appears to be filled with fluid (hydrosalpinx) or blood (hematosalpinx). This is usually found on imaging such as an ultrasound or an MRI. This blockage occurred due to anatomical distortion, inflammation or infection and can lead to fertility issues.

Possible Causes

• Infections: Sexually transmitted infections (STIs) like chlamydia or gonorrhea

• Pelvic Inflammatory Disease (PID)

• Endometriosis: Tissue similar to the lining inside the uterus grows outside of it, causing blockages.

• Previous Surgeries: Scar tissue from surgeries in the pelvic area can lead to blockages.

• Tubal Ligation: A procedure for permanent contraception can sometimes lead to hydrosalpinx.

Symptoms

Many women with hydrosalpinx do not experience noticeable symptoms. When symptoms do occur, they may include:

• Pelvic pain

• Unusual vaginal discharge

• Lower abdominal pain

Diagnosis

Hydrosalpinx is often diagnosed through:

• Ultrasound

• Hysterosalpingography (HSG): An X-ray test where dye is injected into the uterus and fallopian tubes to highlight blockages.

• Sonohysterogram (SHG) : An ultrasound test where dye is injected into the uerus and fallopian tubes to highlight blockages

• Laparoscopy: A surgical procedure where a camera is inserted into the pelvic cavity to view the reproductive organs.

Treatment Options

• Antibiotics: If there is currently an infection, antibiotics may be used. They are typically also given with imaging tests to prevent infection of the hydrosalpinx.

• Laparoscopic Surgery: Minimally invasive surgery to remove the blocked tube (salpingectomy) or repair it.

• IVF (In Vitro Fertilization): For those struggling with fertility, IVF can be an option since it bypasses the fallopian tubes.

Fertility Considerations

Hydrosalpinx can affect fertility by preventing the egg and sperm from meeting. Surgical treatment or IVF can help improve the chances of conception. The hydrosalpinx or hematosalpinx contains fluid that can leak back into the uterine cavity and be toxic to embryos. Doctors usually recommend removal of a hydrosalpinx if undergoing IVF as this can help improve the chances of a pregnancy.

---

This blog post is intended to provide general information about hydrosalpinx. Please consult with a healthcare professional for medical advice specific to your condition.