Thank you for your query. Would you please clarify a few things for me? 1) how old are you? 2) have you had any abdominal or pelvic surgeries? 3) have you had any pelvic infections? 4) do you have children? I understand your concern and confusion. I will do my best to clarify this for you. The ovaries and fallopian tubes are paired structures ( one on each side). The ovaries and the fallopian tubes are in close proximity ( to facilitate retrieval of the released egg) and the tubes connect to the Uterus, one on each side. During each menstrual cycle, follicles (in the ovaries) develop, one of which will release the egg(ovulation) which is collected by the fallopian tube and transferred into the uterus. If it meets sperm on the may, it may get fertilized and develop into an embryo and implant in the uterus , resulting in pregnancy. While the egg develops and is released, the inner lining of the uterus (endometrium) also develops and prepares itself for receiving an embryo. In the absence of pregnancy, this lining is shed and a period/menstruation results. Endometriosis is a condition where this lining grows elsewhere (other than inside the uterus), like on the ovary, tubes, abdominal organs and wall. Chocolate cysts (due to the chocolate coloured fluid in the them) or endometriotic cysts form and can be problematic (cause pain, inflamation, infertility) Ovarian cysts include different types of cysts (functional, dermoid, endometriotic, tumors) small (less than 5cms) functional cysts are mostly benign and go away on their own in a couple of months. Large & persistent functional cysts, dermoid and complex cysts, need to be removed and examined assess underlying pathology. Endometriotic cysts need to be decompressed and the condition medically/hormonally controlled to preserve and enable fertility. Hydrosalpinx - fluid collected within the fallopian tube. normally the fluid inside the tube is drained out into the abdominal cavity which gets absorbed by the body. when this outflow is blocked by cysts, scars due to infection and surgery (adhesions), fluid build up and enlarges the tube exponentially causing severe damage, sometimes irreversible. The underlying causes need to be diagnosed and treated promptly to preserve the tube and its function. This is done by puncturing/removing cysts through surgery (commonly laparascopically) and draining the fluid from the tube in addition to antibiotics/antiinflammatory agents/ hormonal therapy (depending on the cause) From your query, I gather that you may have had endometriosis or ovarian cysts that needed decompression (laparaoscopy). these cysts may have closed up your tubes (directly by pressure or indirectly by causing inflammation) - leading to Hydrosalpinx. Your tubes would then need to be unblocked to preserve normal function and prevent complications like a recurrence of hydrosalpinx and infertility issues. The extent of blockage may be diagnosed by pushing a dye through your uterus and watch as it passes through your tube into the abdominal cavity (detected by an X-ray). If there is no blockage both sides will shown dye in the abdominal cavity. This procedure may also serve to unblock the tubes (uncomplicated blockage). On your next visit, you could confirm these interpretations and ask about how it affects your fertility and your life in the long run. All treatment options should be discussed based on possible complications. you have the right to answers. Ask , insist if necessary. this is your body and your responsibility. Doctors are there to help! hope I have shed some light on the matter. Please egt back to us if you need further clarification. wish you good health