During this webinar, Dr Ángela Llaneza, Fertility Specialist at Clinica Tambre explained what Hydrosalpinx is, how it impacts your reproductive health, its causes, symptoms, and potential consequences for fertility. Dr Ángela Llaneza, also discussed the complexities of hydrosalpinx, offering valuable insights into its diagnosis and treatment options.
Hydrosalpinx, as the name suggests, is an abnormal accumulation of fluid within the fallopian tube. This fluid can be either liquid or, in some cases, blood, known as hematosalpinx. The presence of this fluid can lead to blockages and dilation of the fallopian tubes, making it challenging for conception to occur.
Infections are the primary cause of hydrosalpinx, with conditions like chlamydia infection and inflammatory pelvic disease contributing to its development. While often unilateral, it can affect both tubes. Early symptoms may include chronic pelvic pain, dyspareunia, menstrual disorders, and difficulties in achieving pregnancy.
Hydrosalpinx significantly affects fertility, disrupting the normal process of sperm meeting the ovulated egg within the fallopian tubes. Blockages and obstructions hinder fertilization, making conception more challenging.
Two primary diagnostic methods exist, sonohysterography and hysterosalpingography. The latter involves the introduction of a contrast medium into the cervix and uterus to visualize the tubes and any blockages. This procedure can be invasive and somewhat painful.
Hysterosalpingography has evolved, and today, we have hysterosalpingo-contrast sonography (HyCoSy), a less painful and more accessible option for diagnosing hydrosalpinx. It offers a clearer view of the uterine cavity, aiding in early detection.
In cases of confirmed hydrosalpinx, the preferred treatment is in vitro fertilization (IVF). Removing the hydrosalpinx before embryo transfer is essential, as the fluid within the tubes can negatively impact pregnancy outcomes and endometrial receptivity.
Understanding hydrosalpinx and its implications for fertility is crucial for those facing difficulties conceiving. With advancements in diagnostic techniques and treatment options like IVF, there is hope for individuals dealing with this condition to achieve their dream of parenthood.
- Questions and Answers
Endometriosis can indirectly contribute to the development of hydrosalpinx. While the main effect of endometriosis is not the formation of hydrosalpinx themselves, it can lead to pelvic inflammatory disorder (PID) in some cases. Inflammation associated with PID can result in adhesions, where the fallopian tube becomes stuck to nearby structures, potentially leading to hydrosalpinx. Additionally, endometriosis can cause retrograde menstrual bleeding into the tubes, which may contribute to the development of hydrosalpinx.