Hydrosalpinx occurs when a fallopian tube becomes blocked near its outer end and fills with fluid. It may affect one or both tubes, often following a pelvic infection, previous surgery or endometriosis.

Many people have no symptoms, while others experience pelvic pain or unusual vaginal discharge.

How can it affect fertility?

A damaged tube can prevent sperm and egg from meeting and increase the risk of ectopic pregnancy. Fluid may also flow back into the uterus, interfering with implantation and reducing the chance of pregnancy through IVF.

How is it diagnosed?

An HSG—a contrast X-ray used to assess the fallopian tubes—and ultrasound may help identify hydrosalpinx. Laparoscopy is sometimes needed for further assessment or treatment.

Can you still become pregnant?

Natural pregnancy may remain possible if the other tube is healthy and open. IVF bypasses the tubes, but your fertility specialist may recommend removing the affected tube or blocking its connection to the uterus before treatment.

The best approach depends on the extent of damage, your symptoms and your fertility goals. Discuss the findings with your fertility specialist to plan appropriate care.

Longevity Fertility Centre | Calgary & Edmonton