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Adhesions vs Hydrosalpinx: What’s the Difference?

When a woman is told that her Fallopian tubes are blocked, one possible question she may ask next is: “Why are they blocked? or what is responsible for the obstruction? Two  common causes of blocked fallopian tubes are adhesions and hydrosalpinx. Though both conditions affect fertility, they are not the same, and understanding the difference is key to choosing the right treatment approach.


What Are Adhesions?

Adhesions are bands of scar tissue that form inside the body after infection, inflammation, or surgery. In the case of fallopian tubes, adhesions can stick the tubes to nearby organs or cause them to twist and close off.

Causes of adhesions include:

*Pelvic inflammatory disease (PID)

*Sexually transmitted infections (especially chlamydia or gonorrhea)

*Previous pelvic or abdominal surgery (like appendectomy or C-section)

*Endometriosis


Effects of adhesions on fertility:

Adhesions may cause partial or complete blockage of the fallopian tubes, preventing the egg from meeting the sperm. Sometimes the tube may remain open but become “stuck” in a poor position, reducing the chances of natural conception.

One of the effective natural remedies for adhesions on tubes is fertility massage. Ever done it before ? Well, you can read about it here to learn how to gradually resolve the Adhesions within 3-6 months.

What Is Hydrosalpinx?

Hydrosalpinx is a condition where a fallopian tube is blocked at both ends and becomes swollen with fluid. The word comes from Greek: “hydro” (water) + “salpinx” (tube).

Causes of hydrosalpinx include:

*Untreated infections

*Severe pelvic inflammatory disease

*Long-standing adhesions or scarring

*Tuberculosis (in some regions)


Effects of hydrosalpinx on fertility:

Unlike adhesions alone, hydrosalpinx has a double impact:


1. The tube is blocked, preventing fertilization.

2. The toxic fluid inside the tube may leak back into the uterus, creating a hostile environment that makes it harder for embryos to implant—even during IVF.

Adhesions vs Hydrosalpinx: Key Differences

Comparison chart showing the differences between adhesions and hydrosalpinx in blocked Fallopian Tubes


Treatment Approaches

For Adhesions:

*Laparoscopic surgery to cut scar tissue

*Natural/herbal remedies aimed at reducing inflammation and breaking down scar tissue e.g fertility massage,yoga, castor oil therapy, acupuncture and herbs.

*Lifestyle changes to reduce recurring infections


For Hydrosalpinx:

*Surgery (salpingectomy or salpingostomy)

*Natural therapies to improve Fallopian tube health via Fertility teas, dieting, castor oil therapy, fertility cleansing among others.

*IVF may be necessary, but doctors often recommend removing the hydrosalpinx first

Your next Steps 

Both adhesions and hydrosalpinx are major causes of blocked fallopian tubes, but they are not the same. Adhesions are scar tissues, while hydrosalpinx is a fluid-filled swollen tube. Understanding which one you have helps you and your healthcare provider decide on the most effective treatment—whether natural remedies, medical treatment, or assisted reproductive technologies like IVF.

If you suspect your tubes are blocked, don’t give up hope. With the right knowledge and treatment, many women have gone on to conceive successfully.

As a natural next step read some post on this page remedies such as Castor Oil Therapy, Fertility Massage, Acupuncture, Fertility Cleansing , Herbal Teas, Serrapatase and much more. Also take your time to read Testimonials I share on this page, from the women I worked with to use natural remedies to open their tubes and even conceived.

Efe.


Read 👉 Fallopian Tubes Blockage from Adhesions and Hydrosalpinx


References

1. Johnson N, van Voorst S, Sowter MC, Strandell A, Mol BWJ. Surgical treatment for tubal disease in women due to infertility. Cochrane Database of Systematic Reviews. 2010.

2. Zeyneloglu HB, Arici A, Olive DL. Adverse effects of hydrosalpinx on pregnancy rates after in vitro fertilization-embryo transfer. Fertility and Sterility. 1998;70(3):492–499.

3. Li C, Dai Z, Gong Y, et al. Association between fallopian tube pathology and infertility outcomes. Reproductive Biology and Endocrinology. 2019;17:51.

4. Practice Committee of the American Society for Reproductive Medicine. Salpingectomy for hydrosalpinx prior to IVF. Fertility and Sterility. 2015;103(1):e37–e43.

5. World Health Organization (WHO). Sexually transmitted infections (STIs). Fact sheet, 2021.









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