What is hydrosapinx?

[Sunset-lady]

I know it's blood in the fallopian tubes, but is it common and does it go hand in hand with endometriosis? What causes it? It came up on my MRI but nobody seems bothered about it. Should I be concerned?

[Moonglo]

Hallo! A hydrosalpinx is when you have fluid in your Fallopian tube (hydro = water). When you have blood in your Fallopian tube it’s called a haemosalpinx (haemo = blood) and that is more concerning. Yes, it can be caused by endo or a pelvic infection, among other things.

Although a hydrosalpinx isn’t life threatening it can affect your fertility or cause an ectopic pregnancy. It can also cause some discomfort in the pelvic area. If it needs treatment, a surgeon will normally drain the tube, or in worse cases, remove it altogether.

[Sunset-lady in reply to Moonglo]

Thanks for this x I wonder if I had a pelvic infection and just didn't know it.

[Moonglo in reply to Sunset-lady]

Totally possible! I suggest keeping an eye on it, so remind them to check it when you have your next ultrasound scan.

[Sunset-lady]

They won't offer me another scan. I'm 50 and they have me on zolodox. There's zero wrap around care in the NHS. Are you in the UK?

[Moonglo in reply to Sunset-lady]

Sorry, I didn’t see your comment. Yes, I’m in the UK and also on Zoladex. I’m surprised they won’t offer you an ultrasound/trans vaginal scan as how do they monitor you?

[Sunset-lady in reply to Moonglo]

I've had them already and an MRI privately. I'd hope they'd give me a scan after being on zoladex but my experience thus far is that I have to push for everything. The fact I'm 50 and nearing the average age of menopause in their eyes makes me quite irrelevant. There's no monitoring of my fibroids.

[Moonglo in reply to Sunset-lady]

Sadly, we all have to push for treatment and monitoring, please don’t lose hope! If you haven’t already, keep a diary of all your symptoms so you can track any patterns.

[Sunset-lady]

I've also just realised it haemo not hydro so blood not water as you said (thank you).

[Moonglo in reply to Sunset-lady]

If it’s haemo then definitely keep track of your symptoms and go back if you’re in pain. If you can afford it, have another TV scan in 6 months, or ask your gp for one.

[Sunset-lady]

So it's effectively endometriosis inside the fallopian tubes

[Moonglo in reply to Sunset-lady]

No, I wouldn’t say it was endo inside the tubes, it’s more a symptom.