【Medical Q&A】With hydrosalpinx on one side and normal on the other side, does it affect pregnancy?

The fallopian tubes play a pivotal role in fertility, and any abnormality can cause infertility in women. If only one side of the fallopian tube has standing water and the other side is normal, can I get pregnant?

Hydrosalpinx

How is it caused?

Hydrosalpinx is due to adhesions and atresia at the umbel end of the fallopian tubes, the secretion of mucosal cells accumulates in the lumen of the tubes, or due to inflammation of the fallopian tubes, isthmus and umbel end adhesions occur, and tubal empyema is formed after blockage; Induced abortion, spontaneous abortion, drug abortion, induction of labor and unclean sexual intercourse causes of appendages, pelvic infections, but also easily lead to tubal adhesions, congestion, edema and obstruction. When the pus cells in the lumen are absorbed, they eventually become water-like liquids, and some liquids are absorbed to leave an empty shell, which shows a water shadow when used as an angiogram.

How does it affect pregnancy?

The components of hydrosalpinx are toxic to the embryo; The pressure in the fallopian tubes increases due to the presence of hydrostatic water, and the fluid in the tubes continues to regurgitate into the uterine cavity, forming a layer of fluid covering on the surface of the endometrium, directly blocking the contact between the embryo and the lining and inhibiting the implantation of the embryo; Hydrosalpinx reduces endometrial tolerance and doubles the miscarriage rate.

The hydrostasis on one side of the fallopian tube is normal

Can I get pregnant?

If the hydrosalpinx is severe, it is easy to have a reflux uterine cavity, affecting the implantation and development of the embryo; If there is only mild standing water, and other fertility conditions are no problem, the other side of the fallopian tube is normal, you can first monitor the ovulation test pregnancy, find the timing of intercourse, and achieve the purpose of fertility through the reproductive function of the normal fallopian tube on that side. If the pregnancy test is not successful, it is recommended to go to a regular specialist hospital for treatment in time and do not delay the time.