Fallopian tube when filled with blood is called hematosalpinx as commonly seen in tubal pregnancy cases. Fallopian tube is filled with pus is called pyosalpinx seen in PID and tubo ovarian abscess.
Fimbriae: which capture the ovum from the surface of the ovary.
Infundibulum: Opening to which fimbriae are attached.
Ampulla: Site of Fertilization.
Isthmus: This connects the ampulla to the uterine cavity.
The main function of Fallopian tubes is not only transfer of egg and embryo to the uterine cavity but tube also provides nutrition to early growing embryo for 5 days. It is the site of fertilization and also growth of embryos up till blastocyst stage.
Many a times Hydrosalpinx is asymptomatic meaning these are diagnosed incidentally. Some patient may have symptoms like:
HSG : HSG is an X-ray that is used to examine the cavity of the uterus and fallopian tube.
Sonohysterosalpingography: An ultrasound contrast saline (10-14 ml) is injected into the uterus through the cervix by the foley’s catheter and the passage of saline is followed by TVS.
Diagnostic laparoscopy: It is a surgical procedure that is used to view a women reproductive organs. For this a laparoscope is passed through small incision in the abdominal wall.
Yes, the main symptom of a hydrosalpinx is infertility. Normal, patient, functioning fallopian tubes are must for egg and sperm interaction, fertilization and subsequent embryo development.
Hydrosalpinx definitely decreases the success rate of IVF to less than 10%. So IVF should not be done in the presence of communicating hydrosalpinx and it is advised that tubal opening into the uterus should be blocked by laparoscopic tubal clipping or delinking the tubes.There are various assumptions that try and explain why the conception rates are lower in Hydrosalpinx.
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