Does hydrosalpinx cause abdominal pain?

Patient's question:

My main symptoms are abdominal pain, lower back pain, and excessive vaginal discharge. I haven't been able to get pregnant after being married for a year. A hysterosalpingogram at the hospital showed hydrosalpinx.

Doctor's answer:

The symptoms of fallopian tube hydrops include:
1. Fever in severe cases: If fallopian tube hydrops is severe, it may lead to fever.
2. Lower back and sacral pain: Due to inflammation, patients may experience lower back and sacral pain. However, the severity varies, ranging from mild to severe.
3. Increased vaginal discharge: Many patients with fallopian tube hydrops also have increased vaginal discharge. This is because when the fallopian tube is dilated in hydrops, the lumen of the dilated and undilated parts can still communicate, so patients often have intermittent vaginal discharge.
4. Other symptoms: Dysmenorrhea and menstrual irregularity are common symptoms in patients with fallopian tube hydrops. The pain becomes more pronounced as the menstrual period approaches.

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