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Intermediate Technical IVT

hydrosalpinx

Pronunciation: hi-droh-SAL-pinks

Fluid accumulation in a fallopian tube due to distal obstruction, which can significantly impair fertility and IVF success rates.

Full Definition

Hydrosalpinx is a condition characterized by the accumulation of fluid within a fallopian tube, typically resulting from distal tubal obstruction often caused by pelvic inflammatory disease, endometriosis, or previous pelvic surgery. The blocked tube becomes dilated and filled with serous fluid, creating a characteristic appearance on imaging studies. This condition significantly reduces natural conception rates and can negatively impact in vitro fertilization success rates due to potential embryotoxic effects of the hydrosalpinx fluid. Treatment options include salpingectomy, tubal occlusion, or salpingostomy, with the choice depending on the patient's age, ovarian reserve, and reproductive goals.

Usage

Usage note: Plural form is hydrosalpinges; specify unilateral or bilateral when documenting.

In Context

  • "Bilateral hydrosalpinx was identified on the hysterosalpingogram, requiring surgical intervention before IVF." — Fertility evaluation report
  • "The patient underwent laparoscopic salpingectomy for hydrosalpinx prior to embryo transfer." — Surgical procedure note

Also known as

blocked fallopian tube with fluid

Contrasted with

patent fallopian tube

Don't confuse with

hematosalpinx pyosalpinx tubal pregnancy

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