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More Great Information on Fitness Tube:
Hydrosalpinx - Severe Fallopian Tube Blockage
Hydrosalpinx
Is a fallopian tube that is blocked distally (the open end near the ovary) and is filled with serous fluid (clear fluid). Hydrosalpinx is usually bilateral (both tubes) and causes infertility.
The most common cause of hydrosalpinx is pelvic infections. The most common cause is from bacterial infections, specifically chalmydia or gonorrhea. After exposure to infection and the healing process associated with it the fallopian tubes distal end (the open end near the ovary) are blocked. Fluid in the tube accumulates and cannot be drained. This fluid causes the tube to distend. The classic description of hydrosalpinx is "sausage" shaped fallopian tubes. Hydrosalpinx is most commonly diagnosed after a hystersosalpingogram HSG. Hydrosalpinx can also be diagnosed through a saline infusion sonogram (SIS).
Although infection is the most common cause of hydrosalpinx any trauma to the fallopian tubes that can cause scar tissue is associated with tubal blockage and ultimately hydrosalpinx. Pelvic surgery, endometriosis, myomectomy, tubal cancer and ovarian cancer are just some of the possible reasons.
Treatment:
Salpingectomy: The gold standard treatment for women trying to achieve pregnancy is a Salpingectomy (excision and removal of the fallopian tube). If hydrosalpinx is present on both tubes then both tubes should be removed. Unfortunately the only method of achieving a pregnancy after removal of both tubes is In-Vitro Fertilization (IVF).
Salpingostomy:
An alternative to salpingectomy (removal of the fallopian tubes) is a procedure called salpingostomy. Salpingostomy is essentially the attempt to reopen the fallopian tube surgically in the hopes that the fallopian tubes heal well and remain open. This method has the risk of the fallopian tubes reclosing and hydrosalpinx reforming. It also has the risk of causing an ectopic pregnancy (a pregnancy in the fallopian tube). Some physicians will perform this procedure if the hydrosalpinx is considered mild and the fimbria at the end of the fallopian tube appears relatively healthy during the procedure.
Proximal Tubal Blockage:
In certain scenarios a tubal ligation will be performed near the tubes entrance into the uterus. This is often done when a salpingostomy or salpingectomy cannot be performed. Some patients with severe pelvic adhesions cannot have a salpingectomy or salpingostomy performed. The tubal blockage procedure prevents the fluid from the hydrosalpinx from flowing back into the uterus. IVF again is the only treatment option these patients have to conceive.
Fluid Aspiration:
In certain scenarios the fluid from the hydrosalpinx is aspirated with a needle vaginally or during a laparoscopy.