A hydrosalpinx is a blocked, dilated, fluid-filled fallopian tube usually caused by a previous tubal infection. The build-up of fluid is usually at the end of the tube nearest the ovary. The pelvic infections that lead to hydrosalpinx formation are usually caused by sexually transmitted diseases, namely Chlamydia trachomatis and Neisseriae gonorrhea.
Diagnosis of hydrosalpinx is usually made by a hysterosalpingogram (HSG), an x-ray procedure in which contrast dye is injected through the cervix into the uterine cavity to demonstrate the shape of the uterus and the patency (degree of openness) of the fallopian tubes. If the tubes are open, the liquid will spill out the ends of the tubes (Figure A). If the tubes are blocked, the liquid is trapped. Hydrosalpinx may also be diagnosed by laparoscopy, which is the insertion of a thin, telescope-like instrument called a laparoscope into the abdomen through an incision to visually inspect the tubes. They may also be visualized by ultrasound.
Many patients with a hydrosalpinx have chronic or recurrent pelvic pain, while others are asymptomatic. Patients with a hydrosalpinx may experience repeated acute tubal infections, which cause fever and pain. If the fallopian tubes are completely blocked, pregnancy will not occur without the use of Assisted Reproductive Techniques.
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6 months ago i had a hycosy which showed no tubal blockage.then 3 months later i had a saline sonography.since the sonography i have been in pain and fever and backache.3 months after this i had a laproscopy and have been diagnosed with a hydrosalphinx and they said it could be because of previous chlymidia -however all my (6 monthly)chlymidia and gonnoroea and other tests for the last 10 years have all been negative.
is it possible that the hydrosalphinx was caused by something else?
is it possible that the hycosy or the saline sonography caused the hydrosalpnix.
isit possible the hycosy was not accurate?
how is it possible to have regular chlymida and other tests regualry
and for it to go undetected each time.I dont undertand why they can say its a previous chlmidia infection if all the tests are negative
i took cefalaxin antibiotic before the hycosy but no antibiotic before the saline sonography.would this have made a difference to me not getting a hydrosalphinx?
im so scared.please can you help me .
i am devastated that tubed that were not blocked 6 months prior
Posted 28 Jun 2006 at 7:14 am ¶is now blocked.i am sure somthing happened after because ofthe sonography becasue of the pain after.
please can you help me underastand what has happened.
yes it can be the cause of your tubal block if it was not done under aseptic conditions
Posted 18 Oct 2007 at 12:07 am ¶Post a Comment