It's the fluid from the hydrosphalinx that's the problem, so whatever you do would need to stop the fluid from entering the uterus. Standard of care is removal, and sometimes repair if not too severe. Even if it's caused by an infection, antibiotics can get rid of the infection, but won't correct the damage or resolve the issue. This is one thing I found - but may not be that helpful...it's a bit like Essure, although not an implant.

Sclerotherapy may be an alternative to the removal of the fallopian tube. In this procedure, the liquid is aspirated from the affected tube. Then, a sclerosing agent is injected to prevent the tube from refilling with fluid. This is all done via a vaginal ultrasound-guided needle and is less invasive than laparoscopic surgery. However, research on this method is lacking. It's unclear what all the possible risks are and whether it is truly better than the removal of the tube.

If you're working with an RE - perhaps it's possible to retrieve eggs and freeze embryos while you sort out how to address the hydrosalpinx. It might be good to get several opinions on it if you haven't already. I'd be hesitant to accept a single opinion that I wasn't a candidate for the standard treatment.

Bilateral hydrosalpinx visible on ultrasound means we will need to do IVF, but we will need to address it first.

I'm not a good surgical candidate for tubal removal, and my doctor is unwilling to try Essure, as it was pulled from the market in December 2018.

Has anyone been able to address a hydrosalpinx not using either surgery or Essure? I'm desperately hoping there's an answer out there and our IVF journey isn't over before it has even begun!

Thanks!