Hi doc , I'm 25, unmarried, and have had left-sided pelvic pain for about a year since Jan 2025 especially around ovulation. My periods are regular.
Ultrasound showed a septated cystic lesion in the left adnexa, and MRI found a lobulated tubular blood-filled structure measuring 7.9 x 7.4 × 5.2 cm, diagnosed as haematosalpinx (old blood in the fallopian tube).
Doctors said it may be due to tubal blockage or endometriosis and adviced me to get operated (salpingectomy)
My hb -12 g, Esr -22 mmhr , ca125 -52.3 , weight 65kgs . No history of Pcod or pcos , Diabetes, thyroid.
My questions are:
• Has anyone had haematosalpinx and what were the causes other than ectopic?
Did i need laparoscopy?
Was my tube saved?
• Were I able to conceive naturally later?
Any experiences would help. Thank you!
Am attaching my report usg and followed by mri
Answers (14)
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It is definitely better to undergo a laparoscopy procedure to confirm the type of lesion. The common reasons of hematosalpinx are pelvic inflammatory disease which is very common in our country, pelvic TB, genital infection, endometriosis. Since I'm a practitioner of modern medicine field and about to complete my specialization in gynaecology I would like to suggest you to visit a gynaecologist in person. It is not going to reduce with rampant other forms of drugs and will rather reduce the chances of future pregnancy.
Now, if the other tube is healthy, a natural process can be tried to conceive.
If both the tubes are affected, even if you do not undergo surgery, the chance of getting pregnant is very low. You can try for IVF in the worst case scenario.
You can consult me directly on Practo, or reach out via WhatsApp:
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Thanks for sharing your report. I can guide you better after reviewing it in detail.
Please connect with me directly on Practo so I can check the full report and advise you appropriately.
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Listen,
U can clarify all your queries with treating laproscopic gynac.
No medicine help in such conditions.
Your tube is already blocked.
U need a laproscopic salpingectomy.
YOU CAN GO TO HOMEOPATHY DOCTOR IF THEY CAN SAVE U FROM SURGERY.
Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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