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If I don't want to be pregnant, do I need my hydrosalpinx removed?

From: anaclaire (anonymous@obgyn.net)
Sat, 3 Mar 2001 01:58:15 -0600 (CST)


I've read in these archives that in order for successful IVF, a woman should have her hydrosalpinx removed (salpingectomy). The purpose being the tubal fluid is toxic to an embryo, etc. My Reproductive Endocrinologist found a left hydrosalpinx on my HSG recently. Unfortunately though my cycle day 3 FSH was too high to use my own eggs for IVF. I have been tested for every infection in the book and just completed treatment (along with my husband) for mycoplasma infection. We've basically decided to stop any infertility treatment at this time. I have a follow-up appointment (with the doctor who did the HSG) next week and plan to let her know of my plan to stop treatment and want to have as much information as possible about the hydrosalpinx situation so I can speak intelligently with her about it. I have 2 questions:

(1) Does a damaged tube (hydrosalpinx) need to be removed even though a patient has no plan to become pregnant with IVF or any other fertility treatment?

(2) Does hydrosalpinx cause or correlate with any other health risks other than infertility (eg: cancer, etc.)?

Thank you very much in advance for your time and sharing your knowledge with me!

--
Anaclaire



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