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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having Cystic Lesions. On TTC. HCG And Radiography Done. Diagnosed With Unilateral Hydro. What Is The Best Option?

Hi i was diagnosed with blocked tube rt side in 2010 rt hydro and found iut i hace cystic kesion too 3mos later cyst ruptured and hydro is nit visibleanymore after tvs done.recently i had hsg and diagnised with rt hydro and lt is bloked but radio later told me that it was opened already since they pushed dye only therewas no delayed image.i sm wirking also in radio dept MRI tech.afterwards doc to do MRI and eadio that i have hydrounilat.now my question dies hydros reccur and wat is the best option?on ttc for 2yrs.am 31 lab test are ok as well as my husband.thank you
Fri, 26 Apr 2013
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Radiologist 's  Response
if one tube is having hydrosalphinx.it will not matter to have a pregnancy.even the cases of removed fallopian tube due to ecopic pregnancy.can have baby. it is just like the person on one kidney.it is not a big problem.first the cause of hydrosalphinx is to be ruled out .as whether is it due to tuberculosis or any other chronic inflammatory condition.you can investigate for the pathological fallopian tube. and if found the some resaon you can do laporoscopic repair too.wish you al the best
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Radiologist Dr. Vamshi Kotha's  Response
Hi,

The commonest cause of hydrosalpinx is infections like chlamydia, gonorrhoea or genital tuberculosis which is probably your case too. Rarer causes include hematosalpinx or tumors. It might be advisable to ask you radiologist if there was free peritoneal spill on the right side since this would tell you the patency of the tube as well as may be a pointer to pelvic inflammatory disease.

The cystic lesion you mentioned (in 2010) may have been an ovarian cyst which later disappeared. The hydrosalpinx maybe a new problem. Hydrosalpinx maybe treated with medications or by tubal corrective surgery (if it persisits) but this may also not achieve very good post surgical conception rates and also carries a small risk of ectopic pregnancy. Recurrence is usually not a consideration. Since the other tube is patent, there probably shouldn't be any problem with conception.

It is advisable to meet a gynaecologist with experience in infertility treatment for further evaluation and plan of management.

Sincerely,
Vamshi
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Having Cystic Lesions. On TTC. HCG And Radiography Done. Diagnosed With Unilateral Hydro. What Is The Best Option?

if one tube is having hydrosalphinx.it will not matter to have a pregnancy.even the cases of removed fallopian tube due to ecopic pregnancy.can have baby. it is just like the person on one kidney.it is not a big problem.first the cause of hydrosalphinx is to be ruled out .as whether is it due to tuberculosis or any other chronic inflammatory condition.you can investigate for the pathological fallopian tube. and if found the some resaon you can do laporoscopic repair too.wish you al the best