A number of causes may account for a hematosalpinx, by far the most common being a tubal pregnancy. It may also result from tubal disease such as inflammation of the fallopian tube.  A hematosalpinx can also be associated with endometriosis or tubal carcinoma. Further, if menstrual blood flow is obstructed (cryptomenorrhea), caused for instance by a transverse vaginal septum, and gets backed up it may lead to a hematosalpinx.  A hematosalpinx from other conditions may be painless but could lead to uterine bleeding. Blood may also escape into the peritoneal cavity leading to a hemoperitoneum. 
In all of this cases, hematosalpinx can be very well diagnosed by gynecologic ultrasound examination.

Associated disease


  • Complication of a haematosalpinx may happen when part of the tube becomes twisted (torsion), which can result in death if not fixed. Fallopian tube torsion has an estimated prevalence of 1 in 1.5 million women. Isolated tubal torsion is a rare event in women of reproductive age and even more so in adolescent girls.
  •  An ectopic pregnancy carries with it the deadly risk of uterine tube rupture and resulting hemorrhage.

Risk factors

Tubal blockage is one of the most important factors for female infertility. This acute tubal damage creates pregnancy complications rather it leads to ectopic pregnancy. Fertility may be affected if treatment involves removal of the fallopian tube (salpingectomy). Generally women find surgical treatment as the only way to get pregnant with their blocked fallopian tubes.
Successful pregnancy rate with surgical therapy is below than average.

Generally womanly immunity becomes weaker over menstrual period or after abortion and delivery. Therefore, it is time for females to keep the good habit of personal hygiene, in which way uterine tubes can be saved from invading of bacteria.

Hematosalpinx may have no symptoms (asymptomatic), or the symptoms may be that of the condition with which it is associated:

Self-therapy of hematosalpinx does not exist. It is a potentially life-threatening condition and therefore, visiting a doctor is strongly recommended.

Surgical therapy

Treatment is directed at the underlying condition and usually surgical. Hematosalpinx may require laprotomy or laparoscopy for removal and reconstruction of affected tube.

With the advent of IVF which bypasses the need for tubal function a more successful treatment approach has become available for women who want to conceive. The process involves monitoring and stimulating a woman's ovulatory process, removing an ovum or ova (egg or eggs) from the woman's ovaries and using sperm to fertilize them during ICSI procedure. The fertilized eggs (zygotes) are cultured for 2–6 days in a growth medium and then implanted in woman's uterus, with the intention of establishing a successful pregnancy. In some situations, donated eggs or sperms may be used. 

Find more about related issues


Hematosalpinx ―sourced from World Heritage Encyclopedia licensed under CC BY-SA 3.0
Hydrosalpinx ―sourced from Wikipedia licensed under CC BY-SA 3.0
In vitro fertilisation ―sourced from Wikipedia licensed under CC BY-SA 3.0
Cryptomenorrhea ―sourced from Wikipedia licensed under CC BY-SA 3.0
Hematosalpinx ―by Häggström licensed under CC BY-SA 3.0
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