Hi, Suggestive of blockage of both fallopian tubes with fluid. Hydrosalpinx is a condition in which fallopian tube is blocked and fills with serous or clear fluid near the ovary (distal to the uterus). It is usually bilateral (both the tubes are involved) causing infertility. The fallopian tubes normally function to catch an egg each month as it is released from the ovary. The fallopian tubes are the meeting place for egg and sperm and the mechanism by which the fertilized egg travels to the uterus. Damage to this delicate passageway can inhibit conception and pregnancy. Hydrosalpinx can be caused by an old infection in the fallopian tubes, sometimes a sexually transmitted infection. Other causes include previous surgery (particularly surgeries on the tube), severe adhesions of your pelvis, endometriosis, or other sources of infection such as appendicitis. Its common causes include sexually transmitted disease such as chlamydia or gonorrhea, prior ruptured appendix or endometriosis. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician