Naturally Clear Hydrosalpinx Without Drugs or Surgery
Clear Passage is a world leader with over two decades of experience opening and returning full function to scarred and blocked fallopian tubes, including hydrosalpinx, with a non-surgical, manual physio/physical therapy. Studies published in peer-reviewed U.S. and international medical journals found that our therapy improved fertility and returned function to fallopian tubes previously diagnosed “beyond repair,” including roughly half of tubes with hydrosalpinx. You can read published data on our success rates on this page, or via PubMed or the U.S. National Library of Medicine. We encourage you to complete our online Request Consultation form to receive a free phone consultation with an expert therapist at no charge.
Hydrosalpinx is a collection of fluid within the fallopian tube, often accompanied by closure of the distal (far) end of the tube, near the ovary. Fluid that normally flows through the tube becomes trapped by the blockage and the tube may swell, causing a hydrosalpinx. Some physicians feel that the tube must be surgically removed and the woman undergo IVF in order to conceive. Recent published data from our clinics indicate that this is often not the case.
The Clear Passage Approach®, a hands-on therapy, provides a non-surgical alternative that has been shown to help some women with hydrosalpinx conceive without surgery. In published studies, it has opened and cleared the liquid-filled tube, allowing for natural pregnancy and birth. Some patients have reported second pregnancies and births from tubes that were previously diagnosed beyond repair, indicating that the positive results of the our work appear to last over time.
Hydrosalpinx is classified as a mechanical condition that occurs when adhesions (internal scars) form to narrow or close the far end of the fallopian tube. The adhesions may first form to combat an infection. Once the infection has passed, the adhesions, which are no longer required after healing, remain in the body and block the far end of the tube.
Microscopically, adhesions are composed of tiny strands of collagen that bind together, much like the strands of a nylon rope. The focus of the Wurn Technique® is to break the bonds that hold these strands together, detaching the adhesions. Freed of the adhesive bonds, the hydrosalpinx clears for many women and an earlier state of function (and fertility) returns.
Results of our work clearing blocked fallopian tubes and hydrosalpinx have been published and cited in several respected medical journals. In an initial pilot study (Wurn et al., 2006), we found that while opening fallopian tubes, we cleared the hydrosalpinx in 50% of the women we treated with the condition. Half of those became pregnant naturally and conceived with no further therapy. All had second pregnancies and births, with no further therapy, indicating that the results from therapy seem to have a lasting effect.
In a subsequent study, we had a high success rate (61%) opening blocked fallopian tubes (including hydrosalpinx) in women with total occlusion. (Wurn et al., 2008) This study was highlighted in Contemporary Ob/Gyn, a peer-reviewed professional journal of U.S.-based gynecologists and obstetricians.
In 2015, a landmark study of 1392 infertile women treated at Clear Passage clinics over 10 years showed nearly identical results to the earlier studies. We were able to measure results in 235 women with total tubal blockage. Again, we opened tubes in 61% (143/235) of the women, including women with hydrosalpinx. In these, 45% (47/105) of women with hydrosalpinx had one or both tubes opened and their hydrosalpinx cleared.
It was remarkable to discover and document opening fallopian tubes and clearing hydrosalpinx using only our hands – but the data is clear. We have nearly a decade of published research in this area, treating hundreds of women with these conditions, so we can accurately predict results. The advantages of clearing these tubes without surgery include
- lower cost;
- no surgical or anesthesia risks;
- none of the adhesions that often form after pelvic surgery (Liakakos);
- surgery to open tubes generally gives a brief window in which to become pregnant;
- no risk of inadvertent enterotomy – (cutting the intestine or other structures by mistake).
The body often creates adhesions to heal from surgery. In the landmark study published in 2015, our success rate for opening fallopian tubes was 69% (124/180) for patients with no history of prior tubal surgery and 35% (19/55) for patients whose surgical history involved attempts to open their tubes. IN a large published study of surgery to open fallopian tubes that were blocked proximally (at the entry to the uterus, the easiest for surgeons to open), only 19% of the tubes remained open six months after minimally invasive surgery. (Gleicher et al., 1993)
Neosalpingostomy is a surgery that is sometimes used to open the tube. In the case of hydrosalpinx (or any blockage at the far end of the tube), the surgeon may cut longitudinally along the end of the tube in an attempt to re-create the delicate flower-like petals (fimbriae) that are designed to grasp the egg when it leaves the ovary. This is a very delicate surgery, often confounded by the formation of post-surgical adhesions on these fragile structures. These adhesions can block the tube again, with a subsequent return of the hydrosalpinx. Successful results are typically obtained with younger women and those with relatively small hydrosalpinges. Most of the physicians we have consulted feel that the surgery allows a window of three to six months before the tube blocks again due to post-surgical adhesions.
When faced with the diagnosis of hydrosalpinx, a woman and her partner have limited treatment options from which to choose. In our experience, most patients do well to educate themselves, then follow their own intuition about what they feel will be best for their bodies. If you or a loved one have a hydrosalpinx, we encourage you to educate yourself before making a treatment decision. We invite you to complete our online Request Consultation form to schedule a phone consultation with an expert therapist at no charge.
Request More Information or Speak With a Certified Therapist at No Cost
By Dr. Richard King, Medical Doctor, Senior Research Advisor, Clear Passage Physical Therapy - Gainesville, Florida Area