Fallopian Tube Block (Hydrosalpinx)
Hydrosalpinx is the condition in which the end portion of a woman’s fallopian tube becomes fluid-filled and swollen, which can cause infertility. The swelling and blockage most often occur at the end of the fallopian tube where it connects to the ovary (called the fimbrial end), preventing the ovulated egg from entering the fallopian tube where it is normally fertilized by the sperm. Hydrosalpinx, a form of tubal factor infertility, can be caused by pelvic infections (including chlamydia), pelvic surgery, endometriosis, adhesions and some tumors.
Often there are no symptoms but primary symptoms that do present are pelvic pain and infertility. Hydrosalpinx is usually treated by a minimally invasive surgery called salpingostomy that unblocks the fallopian tube. If surgical treatment does not restore fertility, in vitro fertilization (IVF) can bypass the need for the fallopian tube to achieve pregnancy easily.
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