What should be done about bilateral tubal hydrops?

Patient's question:

What should I do about bilateral tubal hydrops? I have hydrops in one fallopian tube, and I haven't been able to conceive yet. This has been a lingering concern in my heart.

Doctor's answer:

Salpingitis with abscess formation gradually leads to the absorption of pus after the inflammation subsides. The intrauterine fluid changes from purulent to serous, resulting in bilateral hydrosalpinx. An experienced tubal specialist can determine whether tubal ostomy surgery is suitable by correctly interpreting hysterosalpingography and observing tubal fimbrial lesions under laparoscopy. If the diameter of the tubal effusion exceeds 3 cm and the tubal mucosal damage is severe, making postoperative tubal function difficult to restore, and if the endometrial condition is good, direct in vitro fertilization (IVF) treatment can be performed without the need for tubal recanalization therapy.

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