Fluid in fallopian tubes - do private IVF clinic treat them

[biscuitsndtea]

We are planning to go for IVF ( self funded).

Recently we discovered in a scan that there is fluid in my fallopian tubes. I am not sure if the IVF clinic will take care of this. I am thinking to go for Kings / CRGH atm.

Will the IVF Clinic handle/treat the fluid in fallopian tube ?
Or will they redirect to NHS ?
What are the treatment options for this case ?

Lot of surprises in this journey :( The fallopian tubes were normal 6 months back, Suddenly due to endometriosis my case is being complicated 😓

Hi there, i can only share my experience. with regards to the fluid in the fallopian, they call it a hydrosalpinx and the preferred way to treat this is removal of the infected tube via surgery. Draining it with nhs was not an option and apparently it can come back anyway. The reason for removing before ivf is because the fluid can significantly impact success as the fluid is toxic to an embryo.
I was diagnosed via ultrasound in October via NHS fertility gynaecologist . Apparently if it can be seen on ultrasound then it's a significantly swollen tube. It was alot to take in. I signed my consent forms and was on the waiting list for removal of the tube. In nov I then had a HSG dye test and that came back clear . I then an appointment with fertility clinic in Feb and he couldn't see anything on scan. He said there was no hydrosalpinx. My gynae was adamant based on my last scan that I proceed with surgery and in June I had a second scan with fertility clinic and consultant said there's definitely no fluid showing on scan and contacted the gynae to say I didn't need surgery and that he happy for us to proceed with ivf without concern.
Have you has a hsg ? Apparently it can help flush the tubes. I fell pregnant month after but had an early loss. If you haven't had it ,I'd suggest a dye test to check they are completely blocked. Some clinics won't touch you if you have a hydrosalpinx until its taken care off. Fertility clinic cant take care of that.
In my case It seemed to disappear and i can only assume it was down to the flushing. I always have it in back of my mind if it's building up but slowly but they seem content for us to proceed.
I would have went ahead with surgery if my hsg had not come back clear due to it hindering implantation of the embryo.
I don't know what caused my fluid but gynae has suspected I could have endometriosis

I had the same found on my left, instead of removing the fallopian tube the clinic chose to clip this. Not overly sure why but it was along the lines of I have low AMH and due to age having the surgery could have further negative impact on this.

@MoonlightDreamer :Thanks very much for the detailed answer. We took hsg test 2 years back. It was all clear. But the fluid was discovered recently. Need to check with my clinic if they need to do redo the test.

@Rosequartzz thanks for replying ! May i know which clinic it was please ? Is it nhs or private ?
Was there any side effects after that ?

I may have to do something similar. If the clinic doesnt do the procedure, i am worried about the long waiting time with Nhs.

@biscuitsndtea i had fluid in one tube and was advised it needed sorted before ivf as it means its more likely to fail. I'm currently awaiting to have surgery.
Some clinics will require its done before they will offer you treatment so check with the clinic. I was told they wouldn't go ahead if I didn't take care of the fluid but as I said this advice may vary upon clinic. The options are to either remove the tube or clip. Most doctors now opt to remove as opposed to clip as this prevents the fluid from ever coming back. With clip they just seal the tube at the end but it's still going to be swollen and filled with fluid which could possibly cause problems further down line . Some women feel nothing and some women have chronic pelvic pain, I'm told.
I would definitely have it sorted out first. I was scare not going to lie but what's the point paying for ivf if it's most likely going to fail. Removing it will restore chances to someone without fluid .there's a few studies which show removing tubes before ivf improves success.

The way I figured it was I'm not gettting pregnant anyway and tubes aren't needed for ivf so I came to terms with it thay way.
Unless your paying for private surgery then nhs will do this. Waiting list will depend on your area. I was told a few months in my area as it was arranged by hospital consultant rather than gp.
How old are you? Do you have time to wait around

@KosmicK Thanks :) The ivf clinic has said that I need to get this sorted out first before proceeding with embryo transfer.

Just wondering how much waiting time it would take with NHS.

Worried about the cost of going private as it will add to our IVF cost ( which is already high) . I have an aviva silver medical insurance from my employer. Need to check if the insurance will cover this procedure.

Its most likely covered in insurance, mine was covered. I also had endo removed at the same time.

@Rosequartzz Thanks for replying :) Mine states 'fertility treatments' are not covered.

I have also got endometriosis but the doctor suggest not to treat it as it could impact ovaries as well ( in case they need to touch the ovaries )