Pregnancy after hydrosalpinx removal: what to know

A hydrosalpinx is a fallopian tube stretched by trapped fluid, often after inflammation or previous pelvic infection. Removal of the affected tube is called salpingectomy. Whether pregnancy can occur without fertility treatment depends on the other tube, ovulation, sperm factors, ovarian reserve, and other health findings.

Some people are advised to consider IVF because it places an embryo in the uterus without relying on the fallopian tubes. Your clinician will review the operation, healing, and fertility assessment before recommending a route.

Attend the postoperative review and wait for your surgeon to confirm healing before trying to conceive. Ask whether the remaining tube needs assessment and whether any infection or inflammation requires treatment. Once pregnancy is confirmed, arrange early maternity review so the pregnancy location can be checked. Read about [Salpingectomy](/treatments/gynaecological-surgery/salpingectomy/) and [IVF](/treatments/fertility-and-assisted-reproduction/ivf/).

After a positive pregnancy test, seek urgent assessment for one-sided pelvic pain, shoulder-tip pain, vaginal bleeding, faintness, or severe dizziness. These symptoms can signal a pregnancy complication and should not be watched at home. After surgery, urgent review is also needed for fever, worsening wound redness, heavy bleeding, or severe abdominal pain.

Ask when healing is complete, whether the remaining tube should be tested, which fertility option fits your results, when to arrange an early scan, and which postoperative symptoms need same-day help.