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.
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.
Authors: Fabiana C Approbato; Mario S Approbato; Diego F Rezende; Tatiana M Silva; Yanna A R Lima; Beatriz Bacheschi do Carmo Benetti Journal: JBRA Assist Reprod Date: 2019-10-14