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Fertility / Infertility (Expert Forum)
Hydrosalpinges
Questions in the Fertility/Infertility forum are answered by doctors affiliated with USF Health. Topics covered include fertility or infertility issues, egg quality, fertility drugs and side effects, fertility tests, genetic testing, in-vitro fertilization (IVF), ovulation, relationship issues, risk factors, sperm count/quality, and surgery.
Hydrosalpinges
by megaloo, Nov 13, 2007 12:00AM
Hi, I wrote last week regarding my laser lap and being diagnosed with chronic PID. I now have more details and I would like to confirm some of the details with another RE so I'm clear on what is happening. Quick recap: I'm 32, FSH of 5, average weight, husband SA is normal.
I found out I have bilateral hydrosalpinges both tubes blocked with extensive adhesions around the ovaries and tubes. All adhesions were removed and the tubes were "fixed" as by the end of the surgery they were unblocked. A subsequent pelvic ultrasound a week later shows hydrosalpinx on left but right looks normal. My HSG in January 2007 was normal. My RE opted not to remove the tubes as she was not expecting to find PID.
I would appreciate your opinion on the following:
1. Is there any way I got PID in the 11 months since I had my normal HSG or do you think a normal HSG with bilaterial hydrosalpinges is just unfortunate coincedence?
2. With my tubes being "fixed" but a hydrosalpinx being viewed on u/s a week later, does this mean my left is likely re-infected?
3. My RE says if my tubes stay open (i.e. the hydrosalpinges are "fixed") on a follow up HSG, I can do IVF without having the tubes removed. If blocked - tubes come out....do you agree with this?
4. How long should I wait before a follow-up HSG? Any chance of getting pregnant naturally.
Thank you so much, I very much appreciate your responses.
I found out I have bilateral hydrosalpinges both tubes blocked with extensive adhesions around the ovaries and tubes. All adhesions were removed and the tubes were "fixed" as by the end of the surgery they were unblocked. A subsequent pelvic ultrasound a week later shows hydrosalpinx on left but right looks normal. My HSG in January 2007 was normal. My RE opted not to remove the tubes as she was not expecting to find PID.
I would appreciate your opinion on the following:
1. Is there any way I got PID in the 11 months since I had my normal HSG or do you think a normal HSG with bilaterial hydrosalpinges is just unfortunate coincedence?
2. With my tubes being "fixed" but a hydrosalpinx being viewed on u/s a week later, does this mean my left is likely re-infected?
3. My RE says if my tubes stay open (i.e. the hydrosalpinges are "fixed") on a follow up HSG, I can do IVF without having the tubes removed. If blocked - tubes come out....do you agree with this?
4. How long should I wait before a follow-up HSG? Any chance of getting pregnant naturally.
Thank you so much, I very much appreciate your responses.
Doctor's Answer
by Forum-M.D.-SP, Nov 18, 2007 12:00AM
Dear megaloo-
I agree that the key question here is the status of your fallopian tubes, and the HSG will be the test to sort this out. No magic time for doing the followup HSG; 4-6 weeks would be reasonable.
I agree that the tubes should be removed before IVF if the hydrosalpinx has recurred on HSG, and that this is not necessary if the tubes are open after the next HSG.
There are three possible reasons for a normal HSG in January; then adhesions in November:
1) The HSG in January was misread, and the tubes in fact were blocked at that time
2) The tubes were open, but already damaged by a past infection at that time
3) An infection occurred between the HSG and the laparoscopy.
I think number 3 is least likely, since you obviously had infertility already which is why the January HSG was done in the first place.
Does this help?
I agree that the key question here is the status of your fallopian tubes, and the HSG will be the test to sort this out. No magic time for doing the followup HSG; 4-6 weeks would be reasonable.
I agree that the tubes should be removed before IVF if the hydrosalpinx has recurred on HSG, and that this is not necessary if the tubes are open after the next HSG.
There are three possible reasons for a normal HSG in January; then adhesions in November:
1) The HSG in January was misread, and the tubes in fact were blocked at that time
2) The tubes were open, but already damaged by a past infection at that time
3) An infection occurred between the HSG and the laparoscopy.
I think number 3 is least likely, since you obviously had infertility already which is why the January HSG was done in the first place.
Does this help?
Member Comments (2)
by Selenea, Nov 29, 2007 12:00AM
I am wondering if the HSG gave the hydrosalping? I read on another forum of a woman's tubes being damaged by an HSG.
