PCOS and Bilateral Hydrosalpinx

by Heart

Hello Amelia,

I was diagnosed with PCOS a year ago. I'm currently taking metformin and clomid for this.

I just had my HSG this morning and I was very sad to learn the results. The doctor says I have Bilateral Hydrosalpinx and this makes me cry.

My uterine cavity is normal. Both tubes are patent with dilated fimbrial ends.

My OB ask me to do IVF which costs a lot. I ask her to give me medication first before proceeding to IVF.

If I have Bilateral Hydrosalpinx is there any chance for me to get pregnant? What steps do I need to do? Please Help!

Thank you and God Bless,

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PCOS and Bilateral Hydrosalpinx
by: Amelia Hirota, D.Ac.

Hi Heart,
I'm sorry, but your post isn't entirely clear to me. You write that you've been diagnosed with bilateral hydrosalpinx, but then you write that the tubes are patent. Patent usually means that they are in good shape and open. Possibly this is a mistake, but I wanted to check with you.

I hope that you haven't been taking Clomid for a year straight for the PCOS. In the literature, there is a pretty clear case for not taking Clomid for more than 3 menstrual cycles as the chances of conceiving after 3 cycles is very low. Also, long term use of Clomid has been shown to thin the uterine lining.

Another precaution that I'd like to share with you is that many studies show that diet and exercise are more effective in treating PCOS than Metformin. Using Metformin for treating PCOS is an off label treatment. Metformin is a drug to treat diabetes and we don't know yet the overall effects on the body when used to treat PCOS.

Now, in answer to your question about the bilateral hydrosalpinx. I just posted a testimonial from Fatima from Lahore, Pakistan regarding bilateral hydrosalpinx. She was diagnosed with bilateral hydrosalpinx and recommended to do IVF. She had a very good IVF cycle, but didn't get pregnant. Then 6 months later she conceived naturally.

I have heard of other women conceiving after given a diagnosis of hydrosalpinx, so it's not unheard of. Sometimes, the HSG test is wrong because the fallopian tubes can spasm with the injection of the dye and this spasm prevents the dye from traveling through the fallopian tube. On the x-ray this looks like a blockage.

Because hydrosalpinx is often due to an STD infection like Chlamydia or Gonorrhea, I recommend that you get tested. If you are positive, you can do a course of antibiotics.

I have see some patients clear debris from their fallopian tubes with proteolytic enzymes. This may be something you want to try. Good luck to you.

Sending Babydust Your Way,
Amelia Hirota, D.Ac.

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