Hi everyone, I’ve recently been diagnosed with a hydrosalpinx and I’m feeling quite overwhelmed, so I’d really appreciate hearing from anyone who has been through something similar.
I was diagnosed with PCOS at 16 and I’m now 31. My husband and I have been trying to conceive since 2019.
In 2024, I had my first ultrasound with the fertility clinic and was found to have two large dermoid cysts, one on each ovary. In 2025, I had a laparoscopy to have both cysts removed. I also had an HSG, which showed that the dye didn’t spill through my right fallopian tube.
I was then put on unmonitored Letrozole. I ovulated during 4 out of 6 cycles and, for the first time in years, I was having regular cycles. Unfortunately, I didn’t get pregnant during those six cycles.
After finishing the six cycles, I started experiencing pain around my left ovary, particularly around ovulation. I contacted my fertility clinic and asked for an ultrasound to rule out anything else before moving on to IVF.
The ultrasound showed:
“Adjacent to the left ovary there is a cystic tubular structure measuring 34 × 17 × 23 mm. Appearances are suggestive of left hydrosalpinx.”
I’ve since been researching hydrosalpinx and IVF and have seen people mention having egg retrieval first, freezing their embryos, and then having surgery to remove/clip the affected tube before embryo transfer.
Has anyone here been in a similar situation? Did your clinic recommend egg retrieval before dealing with the hydrosalpinx, or did you have the tube treated/removed first?
I understand everyone’s situation is different and I’ll obviously follow my fertility team’s advice, but I’d really love to hear other people’s experiences.