What is hydrosalpinx of the ampulla of the fallopian tube?

Nov 15, 2025 Source: Cainiu Health

Dr. Zhang Lu

Introduction

In general, hydrosalpinx of the fallopian tube ampulla may be caused by hormonal fluctuations during menstruation, unhealthy lifestyle habits, chronic pelvic inflammatory disease, endometriosis, or tubal tuberculosis. If discomfort symptoms occur, it is recommended to seek timely medical evaluation and treatment at a正规 hospital. In daily life, attention should be paid to personal hygiene and unclean sexual practices should be avoided; maintain a balanced diet to enhance immunity; and undergo regular gynecological examinations.

1. Hormonal fluctuations during menstruation: Changes in estrogen levels during the menstrual period can weaken peristalsis of the fallopian tubes, obstructing fluid drainage and causing fluid accumulation in the ampulla. Adequate rest should be taken during menstruation; avoid overexertion, maintain external genital hygiene, change sanitary products frequently, and reduce the risk of pelvic congestion.

2. Unhealthy lifestyle habits: Prolonged sitting and urine retention can impair pelvic blood circulation, leading to accumulation of metabolic waste in the fallopian tubes and resulting in fluid buildup. It is advised to stand up and move every hour, maintain daily water intake between 1500–2000 mL, avoid holding urine, and engage in moderate physical activity regularly to improve circulation.

3. Chronic pelvic inflammatory disease: Repeated pathogen infection of the pelvis causes inflammation that leads to adhesion of the fallopian tube mucosa, narrowing the lumen of the ampulla and causing fluid retention. Treatment under medical supervision may include cefixime dispersible tablets, metronidazole tablets, or levofloxacin hydrochloride capsules. Avoid sitz baths and sexual intercourse during treatment.

4. Endometriosis: Ectopic endometrial tissue invades the fallopian tubes, causing luminal adhesions and blockages, preventing exudate from draining and resulting in fluid accumulation. Under medical guidance, medications such as drospirenone-ethinyl estradiol tablets, dienogest tablets, or naproxen sodium tablets may be used. In severe cases, laparoscopic adhesiolysis of the fallopian tubes may be required.

5. Tubal tuberculosis: Mycobacterium tuberculosis infects the fallopian tubes, damaging the mucosal structure and causing luminal obstruction, which results in fluid accumulation often accompanied by low-grade fever and fatigue. Under medical supervision, treatment may include isoniazid tablets, rifampicin capsules, and pyrazinamide tablets. Long-term standardized medication is necessary, with regular monitoring of liver and kidney function.

In daily life, attention should be paid to personal hygiene and unclean sexual practices should be avoided; maintain a balanced diet to enhance immunity; undergo regular gynecological examinations for early detection and treatment of inflammation; and avoid wearing tight clothing for prolonged periods to reduce pelvic compression.

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Why is there bleeding after undergoing tubal irrigation?

Bleeding after tubal irrigation may be caused by irritation of the fallopian tube mucosa, cervical mucosal injury, endometritis, pelvic inflammatory disease, poor uterine contraction, etc. It can be improved through rest and observation, local care, and medication. If the bleeding is heavy or accompanied by severe abdominal pain, prompt medical attention is required. The fluid pressure during irrigation can stimulate the fallopian tube mucosa.

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What are transvaginal ultrasound and hysterosalpingography?

Transvaginal ultrasound and hysterosalpingography are two commonly used gynecological and reproductive system examinations. Transvaginal ultrasound uses ultrasound imaging to observe pelvic organs, while hysterosalpingography employs contrast agents to visualize and assess the patency of the fallopian tubes. These two examinations serve different purposes, and their application should be determined based on specific medical conditions. Before choosing an examination, it's important to clarify individual needs—for example, women experiencing prolonged infertility during pregnancy planning may prioritize hysterosalpingography.

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What does mixed echogenicity in the adnexal region mean?

In general, mixed echogenicity in the adnexal region refers to ultrasound findings in the ovarian or fallopian tube area that show features of both solid tissue and cystic structures. Upon detection of mixed echogenicity in the adnexa, avoid self-diagnosis or excessive anxiety; instead, follow your doctor's recommendations for follow-up examinations (such as repeat ultrasound after a certain interval) or additional tests.

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Why are there more and more people with blocked fallopian tubes?

The increasing number of cases of blocked fallopian tubes is mainly associated with factors such as pelvic inflammatory infections, damage from induced abortions, improper uterine procedures, gynecological diseases, and poor lifestyle habits. Long-term exposure to these factors can easily lead to adhesions or blockages in the fallopian tube lumen. If symptoms such as infertility or abdominal pain occur, timely medical evaluation is recommended. Sexually transmitted infections such as gonorrhea and chlamydia are also contributing factors.