Fertility and sterility · 2007
A case of hydrosalpinx associated with the menstrual cycle.
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Osuga Yutaka, Koga Kaori, Hirata Tetsuya, Hiroi Hisahiko, Taketani Yuji
Аннотация
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.
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.