Michelle Emblenton, biochemist at inviTRA, tells us if it is possible to get pregnant despite having hidrosalpinx:
Achieving pregnancy with hydrosalpinx does have its difficulties. A natural pregnancy requires the egg and sperm to meet in the fallopian tube and then the resulting embryo to travel through the tube to the uterus, where it implants. If hydrisalpinx is present, the egg and sperm are severely infected in the ability to meet and the implantation of the embryo is also affected. If the hydrosalpinx is bilateral and both tubes are blocked, the woman will have to resort to IVF in order to get pregnant, as this involves the fertilization of the sperm and egg outside of the body and then the embryos will be transferred into the uterus thereby avoiding the need for the fallopian tubes. However, if the hydrosalpinx is unilateral and just on one side, and the other flopian tube is permeable, an artificial insemination process may be a suitable treatment. In either way, in the case of a hydrosalpinx and an assisted reproduction treatment, it is very important to either remove or seal a tube with a hydrosalpinx in order that the liquid that has accumulated inside the fallopian tube cannot have access to the uterus. This would actually have very negative effects for the embryo itself.
