Hydrosalpinx Definition And Treatment
Hydrosalpinx, a condition that happens when fluid collects near the ovaries, at the far end of the fallopian tube, can often lead to a completely blocked fallopian tube. As you can imagine, this is many times a serious threat to fertility.
There are several causes of Hydrosalpinx such as abortion, usage of intrauterine devices, infections and tissue that has been scarred from prior surgery or childbirth. The main cause, however, is Pelvic Inflammatory Disease.
Other causes that could create hydrosalpinx are sexually transmitted diseases, such as gonorrhea or chylamdia. If these diseases go undiagnosed for a period of time, damage to the fallopian tube occurs slowly. A symptom that is common to watch out for is a severe pain in the lower abdominal and/or pelvic areas.
Hydrosalpinx can be detected by ultrasound,performance of a hysterosalpingogram (HSG),laparoscopy or by laparotomy.Ultrasound and HSG are preferred more since they are minimal invasive processes.Laparoscopy and laparotomy are surgical processes hence there is a risk factor in it.
It is important to detect hydrosalpinx at a nascent stage itself as it can cause infertility.The fallopian tube may become useless and the movement of sperm or egg from ovary through the fallopian tube is at risk.The fluid which exudes from the fallopian tube is toxic in nature for the embryo and therefore any treatment for infertility becomes ineffective.The chances of miscarriage also increases.
Once hydrosalpinx becomes a factor, IVF treatments are only effective by 50%. Comparison studies conducted at Yale University gave results proving that the condition decrease the chances of sperm and egg being able to reproduce and miscarriages being more likely to occur.
The condition of having hydrosalpinx can be treated either surgically or non-surgically.The surgical treatment involves making an incision in the tube,commonly referred as salpingostomy or complete removal of tube,which is known as salpingectomy.In such cases,there are chances of incision getting closed,and it can cause a recurrence of hydrosalpinx.
Salpingostomy are more successful when the hydrosalpinx is diagnosed in its early stages. The prophylactic surgery called Salpingectomy has been proven by studies to increase chances of birth rates and pregnancies.
Even though not preferred, surgical procedures of removing the infected fallopian tube can be an option when patients chose to conceive through in-vitro fertilization. If this option become the choice, the patient is recommended, even required, to go through counseling and consents of the physical and psychological risks associated with the removal of the tube surgery.
The preferable non-surgical treatment does not required the recommendations of surgical treatment. In these situations, pelvic physical therapy may assist in removal of blockages. The therapy is a massaging of the tubes so that the blockage can open. The success rate increases by 70% with this treatment when used with fertility yoga, natural supplements and herbal tampons.