Brief Answer:
Surgical treatment is best.

Detailed Answer:
Hello,

Thanks for writing to us.

Best treatment for bilateral distal hydrosalpinx with ONE sided fimbrial block is SURGICAL correction of fallopian tubes. It CAN'T be treated medically.

It can be done with open up the distally blocked tubes (salpingostomy) & remove adhesion (adhesiolysis). However, infection or PID should be controlled for better result and to increase pregnancy rate. Surgical interventions can be done by laparotomy or laparoscopy.

Women who want to conceive, IVF has now become the major treatment for hydrosalpinx. Kindly, consult with your gynecologist regarding this.

Hope, it helps for your information. Kindly, close the discussion if you don't have any other query.

Wish your good health and take care yourself.

Regards,
Dr S Patra

For future query, you can directly approach me through

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326

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Brief Answer:
Better chance of conception through IVF.

Detailed Answer:
Hello,

Thanks for follow up query.

1) Several studies have shown that IVF patients with untreated hydrosalpinx have LOWER conception rates than controls. Therefore, hydrosalpinx should be removed or clipped (prior to IVF) to increase pregnancy rate.

2) Tubal clipping is a reversible procedure and pregnancy rate up to 85% after that. It is best choice in this case.

3) It should be done by an operative laparoscopy and it is supposed to improve IVF pregnancy rate because the hydrosalpinx fluid is toxic and can prevent the embryos from implanting. Relapse rate is very minimal.

Hope, I have answered your query. Kindly, close the discussion.

All the best and good luck.

Regards,
Dr S Patra

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