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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Hydrosalpinx Be Treated To Help Conception?

Hi. First of all I ll give you some background info: I have 4 kids, 2 singles and twins. After the twins I had a Mirena IUS fitted. After 6 months of pain, I had it swapped for a copper IUD. This too caused me pain so I had it removed after 6 months. Later that year I became pregnant and it was ectopic (right tube). I was treated with Methotrexate. I then became pregnant again and miscarried. A few months later I was pregnant again and miscarried again. Again I became pregnant a few months later and it was ectopic again, right tube again, which ruptured. I had surgery to remove the tube. I have just found myself pregnant again and have started bleeding (dark brown blood). I had a scan (I m currently only 5w2days) and they only saw thickening of the lining, no fetal sac. BUT the sonographer said I have Hydrosalpinx in my remaining tube. All of the things I ve read online suggests that it s very difficult to get pregnant with this condition. I want to know if it s possible that this condition has been responsible for my 2 ectopics and 2 miscarriages since the birth of my 4 children? Everything I ve read online suggests that you can t get pregnant with Hydrosalpinx?
Wed, 29 Apr 2020
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General Surgeon 's  Response
Hello,

As per my clinical experience, the swelling involving remaining fallopian tube first has to be evaluated for ectopic pregnancy first. Serial evaluation of beta HCG levels with follow up ultrasound scans are mandatory in this regard.

Hydrosalpinx if it is of infection origin, antibiotics can cure it otherwise not.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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Can Hydrosalpinx Be Treated To Help Conception?

Hello, As per my clinical experience, the swelling involving remaining fallopian tube first has to be evaluated for ectopic pregnancy first. Serial evaluation of beta HCG levels with follow up ultrasound scans are mandatory in this regard. Hydrosalpinx if it is of infection origin, antibiotics can cure it otherwise not. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon