Symptoms of Hydrosalpinx could be various. General, the patients with hydrosalpinx often have lower recurring abdominal pain or pelvic pain, whereas others may be asymptomatic. As the reason that tubal function is impeded, infertility is a one of common symptoms. She may go undetected If patients who are not trying to get pregnant and have no pain.

Hydrosalpinx may be diagnosed using ultrasonography as the fluid filled elongated and distended tubes display their typical echolucent pattern. However, a small hydrosalpinx may be missed by sonography. During an infertility work-up ahysterosalpingogram (HSG), an X-ray procedure that uses a contrast agent to image the fallopian tubes, shows the retort-like shape of the distended tubes and the absence of spillage of the dye into the peritoneum. If, however, there is a tubal occlusion at the utero-tubal junction, a hydrosalpinx may go undetected. When a hydrosalpinx is detected by an HSG it is prudent to administer antibiotics to reduce the risk of reactivation of an inflammatory process.

The very common disease-Endometriosis, the conditions including ruptured appendicitis and abdominal surgery which sometimes are associated with the problem. As a reaction to injury, the body rushes inflammatory cells into the area, and inflammation and later healing result in loss of the fimbria and closure of the tube. These infections usually affect both fallopian tubes, and although a hydrosalpinx can be one-sided, the other tube on the opposite side is often abnormal. By the time it is detected, the tubal fluid usually is sterile, and does not contain an active infection.
One of the major causes for distal tubal occlusion is pelvic inflammatory disease (PID), usually as a consequence of an ascending infection by chlamydia or gonorrhea. However, not all pelvic infections will cause distal tubal occlusion. Tubal tuberculosis is an uncommon cause of hydrosalpinx formation.

how to cure hydrosalpinx?

When laparoscopy is performed, the surgeon may note the distended tubes, identify the occlusion, and may also find associated adhesions affecting the pelvic organs. Laparoscopy not only allows for the diagnosis of hydrosalpinx, but also presents a platform for intervention (see management). As pelvic inflammatory disease is the major cause of hydrosalpinx formation, steps to reduce sexually transmitted disease will reduce incidence of hydrosalpinx. Also, as hydrosalpinx is a sequel to a pelvic infection, adequate and early antibiotic treatment of a pelvic infection is called for.

Additional, the other pathologic factor is attributed to the inflammatory. For the patients have a great chance to cure the inflammatory in the early stage, in the light of the relapse, it was significant to have effective treatment. Although the western therapy have been proved quickly, the inflammation is hard to be cured permanently. Oppositely, the traditional treatment takes long time, the duration of therapy ranges from 6 to 12 weeks depending on the different situations of patients. Recently, the Chinses herbal medicine named Fuyan Pill has become popular. Commonly, this pill is used to cure genital diseases like BV, endometriosis, chlamydia infection, PID tubal conditions and infertility. If you contrast this pill with antibiotic, you may love antibiotic, for those disease commonly can be cured by antibiotic within weeks, but for fuyan Pill, you may need three months treatment. But Fuyan Pill can cure those diseases totally without relapse which cannot be done by antibiotic, so every treatment has its own advantages and disadvantages.