Is the chance of pregnancy very low with hydrosalpinx?

Patient's question:

I have a friend who recently wants to get pregnant, but it seems like she had another car accident before, which led to hydrosalpinx. I think this might interfere a bit with getting pregnant. I want to ask the doctor if the chances of getting pregnant with hydrosalpinx are very low.

Doctor's answer:

Abortion, spontaneous abortion, medication abortion, induced abortion, unsafe sex, and pelvic infection can all cause fallopian tube inflammation. The inflammation can lead to adhesions at the isthmus and fimbriae, resulting in blocked tubes and the formation of tubal abscesses. When the pus cells in the lumen are liquefied, a watery liquid is formed, leading to tubal hydrops. This can still affect childbirth. It is recommended to visit a hospital for a hydrotubation examination to check for adhesions and ensure patency. It is best to resolve the inflammation first. If there is no hydrops, childbirth can be considered. During the healing period, avoid sexual activity and spicy foods.

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