A case of hydrosalpinx associated with the menstrual cycle.

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.