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Posted: Mon Oct 01, 2018 8:05 pm
by Crimson80
Hello. Four years ago, I had an HSG showing a single blocked Fallopian tube. I then had an IUI that was successful. Delivered via c-section. Early 2018, I had a hysteroscopy perform that showed the same single Fallopian tube occlusion, other tube remained open and a small polyp was removed from the uterus. I had an unsuccessful IUI attempt. In June we decided to proceed with IVF. The egg retrieval was performed. The fertility specialist recommended a repeat hysteroscopy prior to transfer. The current hysteroscopy showed a hydrosalpinx on the prior blocked side and the previously normal side has now become occluded. No history of pelvic infection. GC/CT testing negative. C-section, hysteroscopy and egg retrieval are the only past pelvic surgeries. No endometriosis.

Could hysteroscopy or the IVF egg retrieval cause a hydrosalpinx and/or tubal scarring/occlusion?

Re: Hydrosalpinx

Posted: Tue Oct 02, 2018 10:23 am
by Dr. Wisot
I don't know how they could diagnose a hydrosalpinx from a hysteroscopy. Did they do something else as well?

In any event neither a hysteroscopy nor a egg retrieval would be likely to result in a hydrosalpinx. If you do have hydrosalpinges the important thing is that the hydro is occluded on the uterus end before doing IVF again so that the fluid cannot leak back into the uterus and adversely affect the embryo.

Arthur L. Wisot, M. D.
Reproductive Partners Medical Group
Redondo Beach, California

Re: Hydrosalpinx

Posted: Tue Oct 02, 2018 1:11 pm
by Crimson80
Thanks for replying. The specialist could have performed a HSG at the time since an attempt was made to get the hydrosalpinx to drain. A laparoscopic salpingectomy was recommended prior to the IVF transfer.

I'm just trying to make sense of how such a significant change in my fallopian tubes happened within only a few months. I do think (not certain) during my first hysteroscopy the specialist attempted to reopen the blocked tube. I don't know if that could have played a role.

Anyway, thank you for your time.