Despite the fact that a hydrosalpinx is not an ovarian cyst, the information posted on this site is no accident. Just very often confused with hydrosalpinx ovarian cyst. Often the correct diagnosis becomes clear only during the operation.
The Hydrosalpinx is the accumulation of fluid in the fallopian tube (gr. hydro — water, salpinx — fallopian tube).
Why the fluid begins to accumulate in the fallopian tube and than it is fraught? All because of chronic inflammation. It is because of inflammation of the coalescence of the edges of the fallopian tube, and it is closed on one side (the side of the abdominal cavity). Now she is a “bag of fluid”, which communicates only with the uterus.
Another consequence of inflammation is the increased production of fluid in the lumen of this tube. But since the main exit is closed, this fluid begins to accumulate inside the pipe. Small amounts of inflammatory fluid can be released through the remaining hole in the uterus area.
Symptoms of hydrosalpinx.
Often, the hydrosalpinx are totally asymptomatic and are findings during the ultrasound examination.
But most often these or other manifestations of hydrosalpinx can be noticed.
Many patients have noted periodic abdominal pain. Very often they appear during exacerbation of inflammation in the tubes. Pain these usually dull, not very intense, often appear after a cold or some kind of stressful situation.
Some women have reported prolonged spotting or watery discharge from the vagina after menstruation. The reason for this is that during the critical days there is a reflux of menstrual blood into the cavity of hydrosalpinx. And then there is a slow outflow of this fluid through the uterus.
Because the hydrosalpinx is a nidus of chronic infection, it is often possible to establish a typical for inflammation of proylene: General weakness, fatigue, sweating, reduced efficiency, small temperature rise.
In young patients, the main manifestation of hydrosalpinx is infertility. As I said above, when forming a hydrosalpinx closes the fallopian tube, that is, it becomes impassable. Moreover, almost always this process is bilateral, completely shutting down the fallopian tubes. Even technology such as IVF, is ineffective. All the matter in the fluid that accumulates in the hydrosalpinx. This inflammatory fluid is very toxic to young embryos. And when replanting in the uterus, the embryos die from it at an early date. In the presence of hydrosalpinx effectiveness of IVF decreases from 30% to 10%. It is for this reason that at the present time, IVF is performed only after surgical treatment of hydrosalpinx.
Treatment of hydrosalpinx.
Often there are situations when for the treatment of hydrosalpinx are assigned to different schemas anti-inflammatory conservative treatment — antibiotics, physiotherapy, etc. But in practice it is ineffective and gives a temporary effect. In the conservative treatment simply decreases the amount of produced fluid in the fallopian tube. Due to this, the hydrosalpinx collapses and becomes invisible on ultrasound examination (ultrasound). As you can guess is a pseudo cure does not solve the problem. Because the patency of the pipes is not restored and the nidus of chronic infection does not disappear.
Therefore, the main method of treatment of hydrosalpinx — surgical. Extent of surgery depends on the extent of damage to the fallopian tubes. To complete the work in the fallopian tube must attend fimbria (they zahvatyvat the egg from the ovary), the layer of ciliated cells and good muscle layer (they propel the egg toward the uterus). In the absence of at least one item, a commonplace of the fallopian tubes enough for pregnancy. Technically to make a passable almost any pipe. But, unfortunately, the problem of infertility in this case is not solved.
Therefore, having evaluated during the operation condition of the fallopian tube, the surgeon must decide whether to restore its patency or delete.
To Restore the patency of the fallopian tube hydrosalpinx is reasonable only if the saved fimbria and the pipe wall. In this case, the operation gives the chance for pregnancy in a natural way. However, the risk of relapse, of course.
If after pipe inspection it becomes apparent that restoration of patency will not lead to pregnancy, then a hydrosalpinx it is necessary to remove in order to enhance the results of IVF.
Making the decision to remove the hydrosalpinx, the surgeon removes not a full pipe, but only what’s left after a long period of inflammation. The tube destroys not the surgeon, and the disease. And the doctor’s task to eliminate the adverse effect, which has a hydrosalpinx on the body. Strangely enough, but the removal of the affected tube significantly increases the chances of pregnancy.
Therefore, if your objective is pregnancy, do not be afraid to part with hydrosalpinx. The main thing is that during the operation is not affected ovary. Because in the process of inflammation is very often hydrosalpinx podpisyvaetsya to the ovary. Therefore, the priority task for the surgeon should not be mere removal of the affected pipe, and the maximum operating capability of the ovary.