Salpingectomy for hydrosalpinx

Removal of a hydrosalpinx before IVF

Understanding Hydrosalpinx and Its Impact on Conception and IVF

When trying to conceive, couples often face various challenges, one of which can be a hydrosalpinx. A Hydrosalpinx is a condition where a blockage causes the fallopian tube to fill with fluid. This can have significant implications for natural conception and the success of in vitro fertilization (IVF) treatments.

Why do I have a hydrosalpinx?

We don’t always know someone has developed a hydrosalpinx. Causes can include previous surgery in the tummy (e.g. an appendicectomy), previous pelvic infections (e.g. PID or a ruptured appendix) and endometriosis. 

Before bilateral Salpingectomy (removal of tubes) for Hydrosalpinx

The Challenge of Conceiving with Hydrosalpinx

For natural conception to occur, the sperm must travel through the fallopian tubes to meet and fertilise an egg. However, when someone has a hydrosalpinx, the fluid-filled tube can become a barrier to sperm passage. Moreover, the fluid may contain inflammatory substances that can impair fertilisation or damage the sperm, egg or harm the lining of the womb (endometrium).

Hydrosalpinx and IVF Outcomes

In IVF procedures, fertilisation occurs outside the body, bypassing the need for the fallopian tubes. However, the presence of hydrosalpinx can still affect the outcome. The fluid from the affected tube can leak into the uterine cavity, creating an environment that is less conducive to embryo implantation and increasing the risk of miscarriage. It is estimated that a hydrosalpinx reduces the chance of pregnancy following embryo transfer by 50%!

The Importance of Treating Hydrosalpinx

Laparoscopic removal of hydrosalpinx

Bilateral Salpingectomies (removal of tubes) for Hydrosalpinx, before IVF

Given these challenges, it’s crucial for women with hydrosalpinx to seek treatment if they’re trying to conceive, especially if they’re considering IVF. Treatment

Options include surgical removal of the affected tube(s) or a procedure to block fluid from entering the uterus using a clip. These interventions can significantly improve the chances of successful conception and healthy pregnancy.

In conclusion, while hydrosalpinx poses hurdles to conception and IVF success, understanding its implications and seeking appropriate treatment can pave the way for a successful pregnancy. If you’re looking for more detailed information or have specific questions about your situation, consulting with a fertility specialist such as Dr Sam Dobson is highly recommended.

If you would like more information or have any questions please phone or email Mandy Banbury, secretary to Mr Dobson.

Mandy Banbury:

Tel: 0115 966 2111 (Tues/ Wed/ Thurs)