Is surgical treatment necessary for hydrosalpinx?

Patient's question:

Does tubal hydrops always require surgery? Menstrual volume is slightly reduced, and there is also dysmenorrhea. I always thought it was due to physical weakness, but after a thorough examination, it was said that it is caused by tubal hydrops. What are the best treatments for tubal hydrops?

Doctor's answer:

Hydrosalpinx is caused by intestinal obstruction at the fimbriae of the fallopian tube. It is triggered by a pathogen infection leading to fallopian tube inflammation, which is further caused by bacterial infection, resulting in infiltration of white blood cells, edema of the endometrium and stroma, and exudation, as well as shedding of the fallopian tube mucosal epithelium.
Recommendation: It is recommended to actively treat the condition, preferably at a formal perinatal specialty hospital for better examination and treatment outcomes. If pregnancy occurs with fallopian tube issues, it can easily lead to an ectopic pregnancy.

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