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Published on: January 22, 2022
A case of hydrosalpinx associated with the menstrual cycle
Yutaka Osuga1, Kaori Koga, Tetsuya Hirata
1Department of Obstetrics and Gynecology, Faculty of Medicine, University of Tokyo, Tokyo, Japan. yutakaos-tky@umin.ac.jp
Objective:
To describe a case report of hydrosalpinx that changed dramatically in size during the menstrual cycle.
Design:
Case report.
Setting:
University teaching hospital reproductive endocrinology and infertility practice.
Patient(S):
A 32-year-old woman with a history of medical and surgical treatments of endometriosis who sought infertility treatment.
Intervention(S):
Transvaginal ultrasonography performed sequentially during menstrual cycles.
Main Outcome Measure(S):
Size of hydrosalpinx-like image.
Result(S):
The size of the hydrosalpinx-like image in the left adnexal region varied; it peaked during the ovulatory period and then remarkably diminished in a cyclic manner. Laparoscopy revealed a dense adhesion between the left tubal fimbriated end and the posterior uterine wall, which led to terminal obstruction of the tube.
Conclusion(S):
Change in the volume of the hydrosalpinx in this case was speculated to reflect the normal tubal fluid production regulated by ovarian hormones.
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