Hydrosalpinx Ultrasound: Diagnosis and Treatment

What is hydrosalpinx?

Hydrosalpinx occurs when one or both fallopian tubes become blocked due to an accumulation of fluid. Fluid build-up blocks the passageway that the fallopian tubes provide for the egg to meet the sperm and get fertilised. 

This blockage typically happens at the fimbrial end of the fallopian tube, near the ovary, and can result from infections, endometriosis, or pelvic surgeries. A hydrosalpinx can lead to pregnancy complications, cause infertility issues, and increase the risk of ectopic pregnancy or miscarriage.

What does a hydrosalpinx ultrasound do?

A hydrosalpinx ultrasound is a non-invasive imaging technique used to detect fluid-filled fallopian tubes. It helps confirm the diagnosis by identifying characteristic features such as elongated or folded, tubular, C-shaped, or S-shaped fluid-filled structures distinct from the uterus and ovary. 

Ultrasound imaging plays a vital role in diagnosing and managing this condition. Additionally, advanced techniques, like saline infusion sonohysterography (SIS), may also be used to enhance visualisation. If your tube appears enlarged on ultrasound,  it may indicate a more severe hydrosalpinx.

What are the symptoms of hydrosalpinx?

Many women with hydrosalpinx are asymptomatic. However, when symptoms do occur, they may include:

• Unusual vaginal discharge.

• Discomfort during sexual activity.

• Irregular menstrual cycles.

• Pelvic or lower abdominal pain that may worsen during or immediately after your period.

When do I need a hydrosalpinx ultrasound?

You may need a hydrosalpinx ultrasound if you experience:

• Persistent pelvic pain.

• Difficulty conceiving after 6–12 months of trying.

• A history of pelvic infections or previous surgeries like caesarean sections, appendectomy, or other abdominal surgeries.

• Symptoms of endometriosis or pelvic inflammatory disease (PID).

If you’re experiencing any of these symptoms and are having difficulty conceiving, don’t hesitate to consult a specialist at Thomson Medical. Our specialist will help you to assess your underlying condition and give tailored recommendations. Request an appointment with Thomson Medical today.

What happens during a hydrosalpinx ultrasound?

During the procedure:

1. You will lie on an examination table.

2. A transvaginal ultrasound probe is gently inserted into the vagina to obtain detailed images of the reproductive organs.

3. In some cases, a saline solution may be introduced into the uterus (SIS) for improved visualisation.

The procedure is generally quick and minimally uncomfortable.

How do I interpret my results?

Your ultrasound results will indicate whether there are fluid-filled structures in your fallopian tubes. Common findings include:

• Visible fluid collection near the ovaries indicating blocked fallopian tubes.

• Thickened walls in chronic cases.

• Signs like "cogwheel" or "beads on a string", which are indicative of hydrosalpinx.

Your doctor will discuss these findings and recommend further testing or treatment based on the results and your condition.

A hydrosalpinx ultrasound is an essential diagnostic tool for identifying blocked fallopian tubes and assessing reproductive health. Early detection allows for timely treatment, improving fertility outcomes and overall well-being. If you suspect you have symptoms of hydrosalpinx, consult a specialist for a consultation. 

FAQ

How is hydrosalpinx treated?

Treatment options include laparoscopic surgery to unblock or remove the affected tube (salpingectomy) and antibiotics if infection is present. To help in the conceiving process, in-vitro fertilisation (IVF) may also be recommended.

How does hydrosalpinx affect my body?

It blocks egg transport to the uterus and may leak fluid into the uterine cavity, reducing fertility and causing pelvic pain. Hydrosalpinx primarily impacts fertility by blocking the egg’s pathway to the uterus. 

Even if only one tube is affected, the fluid buildup can leak into the uterus, creating an unfavourable implantation environment. This condition can also cause chronic pelvic pain and disrupt menstrual cycles.

Can I reduce my risk of hydrosalpinx?

Preventive measures include practising safe sex to avoid sexually transmitted infections (STIs), treating pelvic infections promptly, and discussing risks with your doctor before pelvic surgery.

Do I need to fast before my hydrosalpinx ultrasound?

No fasting is required for a standard hydrosalpinx ultrasound; however, follow your doctor’s specific instructions if additional tests are planned.

Can you get rid of hydrosalpinx naturally?

While lifestyle changes like improving your immune system may help prevent infections, medical intervention is typically required to treat hydrosalpinx effectively.

Do I need to take other diagnostic tests after my hydrosalpinx ultrasound?

Additional tests like hysterosalpingography (HSG) or laparoscopy may be recommended to confirm the diagnosis or assess tubal function further.

Is hydrosalpinx a cyst?

No, hydrosalpinx refers to a fluid-filled fallopian tube rather than a cystic structure.

The information provided is intended for general guidance only and should not be considered medical advice. For personalised recommendations and tailored advice, please consult a specialist at Thomson Medical. Request an appointment with Thomson Medical today.