Treatment of hydrosalpinx: laparoscopy, antibiotics, folk remedies

In addition to antibiotic therapy, much attention is paid to strengthening the immune system. For this purpose, women are prescribed immunomodulators - for example, Taktivin, echinacea tincture, Immunal, Imudon, etc., as well as vitamins and physiotherapy. The listed treatment will not be able to completely rid a woman of the disease, but will significantly improve her well-being and stop the pathological process.

Medicines to slow down the process of hydrosalpinx formation

• Antibiotics for hydrosalpinx:

1. Ampicillin - diluted with novocaine or saline, administered as intramuscular injections of 0.5 g 4 times a day;
2. Apmiox – take two capsules orally 4 times a day;
3. Ecocefron – take orally 1-2 capsules 3-4 times a day;
4. Cefotaxime - administered intramuscularly, 1000 mg every eight hours;
5. Metronidazole – take 1 tablet up to 4 times a day;
6. Furazolidone - take 2 tablets 4 times a day along with the main antibiotic therapy.

To prevent dysbacteriosis, antibiotic therapy is carried out against the background of taking antifungal agents and probiotics (Ketoconazole, Linex, etc.).

• Nonsteroidal anti-inflammatory drugs:

1. Paracetamol – take 500 mg up to 4 times a day;
2. Butadion - take 100 mg 2-3 times a day, between meals;
3. Ibuprofen – take 0.4-0.8 g three times a day.

To enhance the medicinal effect and strengthen the immune system, treatment is supplemented with vitamin supplements.

• Vitamins, immunomodulators and complex vitamin preparations:

1. Ascorbic acid - take 0.5 g per day, daily;
2. Tocopherol – take 0.1 g daily for a couple of weeks;
3. Cocarboxylase – administered as intramuscular injections, 1-2 ampoules daily;
4. Immunofan is administered intramuscularly, one ampoule per day, for three weeks.

• Longidaza is prescribed for hydrosalpinx due to the drug's ability to effectively eliminate adhesions in the pelvis. In addition, Longidaza significantly increases the bioavailability of other medications. The drug can be used in two ways - as injections and as suppositories. Injections are administered intramuscularly, once every three days, at a dosage of 3 thousand IU. The general course can be from five to fifteen injections. If the doctor prescribes suppositories, they are administered rectally, one suppository every other day. The duration of therapy should be determined individually. The drug is well tolerated by the body. Side effects are rare: slight redness and swelling at the injection site. Longidaza is especially often combined with antibiotics. For example, Longidaza and Azithromycin complement each other for hydrosalpinx, enhancing the treatment effect: as a result, adhesions are successfully resolved, the inflammatory reaction subsides.
• Ceftriaxone for hydrosalpinx helps to avoid purulent complications, abscess, etc. The drug is administered intramuscularly, in an individually determined dosage. Ceftriaxone cannot be used in the presence of hypersensitivity to cephalosporins and penicillin antibiotics. Side effects include nausea, development of thrush (as a result of antibiotic therapy in general).
• Tsifran is prescribed for hydrosalpinx, taking into account the ability of the drug to successfully combat gynecological infectious diseases. Most often, Tsifran is used orally in a dosage of 500 mg twice a day, regardless of food intake. The duration of the treatment course is about one week. Side symptoms are usually weak and manifest as nausea, diarrhea, loss of appetite, and sometimes allergies.
• Suppositories for hydrosalpinx are prescribed to almost all patients, the only difference is in the mechanism of action of such forms of drugs. For example, suppositories can have an anti-inflammatory effect (Diclofenac, Betadine), an analgesic and antispasmodic effect (Indomethacin, Papaverine), a restorative effect (Methyluracil, Dexpanthenol, Longidaza), have an immunomodulatory effect (Pyrogenal, suppositories with sea buckthorn). Such drugs can only be prescribed by a doctor. Their incorrect use can lead to a number of complications: addiction, imbalance of intestinal and vaginal microflora, decreased immunity, a burning sensation and pain in the genital tract.
• Ichthyol suppositories for hydrosalpinx are used 1-2 times a day for 10 days (unless the doctor has prescribed another treatment regimen). This remedy has virtually no contraindications (except for allergies) and has been successfully used for many years to treat salpingitis, endometritis, erosions, colpitis and other gynecological problems. In terms of antiseptic effect, ichthyol is equivalent to Vishnevsky ointment.
• Recently, many websites have been strongly recommending the use of so-called "Chinese tampons" for treating gynecological problems. Such products allegedly have a special healing impregnation that affects the pathological focus directly at the site of application. It should be noted right away that such products are not officially recognized in our country, so there is no need to rush to use them. There are already quite a few known cases where Chinese tampons did not cure hydrosalpinx, but caused a lot of other problems - irritation of the mucous membrane, bacterial imbalance, colpitis, etc. It would be wiser not to make plans for self-medication and consult a competent doctor.
• Gynecological garlic tampons for hydrosalpinx are made from a crushed clove of garlic and warm water (the water with garlic is filtered through gauze). A homemade gauze tampon is moistened with the resulting water and inserted into the vagina for no more than two hours. It is believed that this time is enough for the active substances contained in garlic to have their therapeutic effect. This method has its fans and those who categorically reject it. Indeed, this remedy can cause severe irritation of the mucous membrane, up to a burn. Therefore, if you decide to use it, you should definitely discuss this treatment with your doctor in advance.
• Contraceptives - for example, Regulon for hydrosalpinx does not carry any therapeutic and target load. Such drugs are used both for contraception and for regulating the monthly cycle, getting rid of endometriosis. These medications do not affect the fact of hydrosalpinx in any way.
• Sodium thiosulfate for hydrosalpinx can be used in case of suppuration of the pathological focus - in this case, the solution has a pronounced antitoxic effect. Orally, 2-3 g of the drug is prescribed as a 10% solution (mixed with saline). Intravenous administration is possible (as prescribed by a doctor).
• Vilprafen is prescribed for hydrosalpinx as an antibacterial treatment, especially if the patient is contraindicated in certain antibiotic therapy (for example, if she is allergic to penicillins). Vilprafen is taken 2-4 tablets per day (in 2-3 doses). As a rule, the course of therapy does not exceed ten days.
• The biologically active supplement Ginekol for hydrosalpinx helps to slow down the inflammatory process and potentiate regeneration. The product is taken for three months, two tablets a day, after consulting with a doctor in advance. Ginekol is not considered a drug, so it is taken only against the background of the general prescribed treatment.
• Terzhinan acts as a powerful antiseptic and antibacterial agent for hydrosalpinx. Tablets are administered intravaginally, one tablet 1-2 times a day. Treatment continues for 10-20 days in a row. Terzhinan cannot be used simultaneously with aspirin - these drugs are not compatible and can lead to complications.
• Cathejel is used locally for hydrosalpinx due to the presence of chlorhexidine in the drug, which has strong bactericidal activity. This drug is not intended for independent use. It is used only by a doctor or specially trained medical personnel, according to a pre-determined treatment regimen.

Physiotherapy treatment

Electrophoresis with iodide, magnesium and calcium salts, with enzyme preparations (Lidase, Wobenzym, Trypsin) can be used. The procedure is performed every day on the lower abdomen. The therapeutic course may include 10-15 sessions.

Ultraphonophoresis is used on the pelvic area - in this case, it is appropriate to use Lidase, Terrilitin, Hyaluronidase, oil solution of tocopherol (2-10%), Ichthyol. Sometimes ointments containing Indomethacin, Troxevasin, Heparin are prescribed as a medicinal substance. The course of ultraphonophoresis includes 15 sessions.

Vaginal irrigation is carried out by introducing hydrogen sulphide, nitrogen, silica and radon water. The water is pre-warmed to body temperature. Irrigation is repeated once every two days, and the entire course of therapy includes 12 sessions.

Mud application to the lower abdomen is done every other day, for about half an hour. The therapeutic course is from 10 to 15 sessions.

Folk remedies

In addition to the basic therapy prescribed by the doctor, you can also use folk remedies. This will help the body fight the disease with double force, enhancing the effect of other medications.

Potato juice will help stop the growth of the capsule formation. Drink it on an empty stomach 30 minutes before each main meal for a couple of months.

Take 1 teaspoon of flax seed and 200 ml of water. Pour water over the seeds, bring to a boil over low heat and remove from heat to infuse. Take the resulting and filtered decoction, 100 ml every 2-3 hours.

Potato juice and flaxseed decoction are considered the number one remedies for hydrosalpinx. They can be combined together: in this case, the treatment will be even more effective.

Many also drink a medicine based on St. John's wort. It is prepared as follows: first, 1 tbsp. of raw material is steamed in 200 ml of boiling water, infused for 1 hour. Then it is placed on the fire, brought to a boil and kept on low heat for another quarter of an hour. After this, the medicine is cooled, filtered and drunk on an empty stomach three times a day, 5 tbsp.

Some sources claim a positive effect of hirudotherapy. However, most experts are sure: leeches will not completely get rid of hydrosalpinx, but will only give a temporary effect. Only surgical intervention can partially restore the functionality of the tubes. However, hirudotherapy is quite acceptable for improving the regeneration process: the procedures are carried out in a course, in a special clinic under the supervision of a doctor.

Vishnevsky ointment for hydrosalpinx eliminates the adhesion process - the main cause of the disease. Ointment alone is not enough for successful treatment: it is also necessary to prepare a medicinal collection from equal amounts of eucalyptus leaves, chamomile flowers, calendula, and oak bark. Pour 1 tbsp of the collection with boiling water, insist for half an hour. Filter the infusion and douche (the liquid should be warm) at night, and immediately after the procedure, insert a tampon treated with Vishnevsky ointment into the vagina. The tampon is made manually (a regular store-bought one will not work) from a sterile bandage and thread. The procedures are repeated daily for three weeks.

Before starting any self-treatment, you must first consult a medical specialist.

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Herbal treatment

• Knotweed is rightfully considered a good restorative in gynecology. Medicine from this plant is prepared in the following way. Brew 5 tbsp. of knotweed in 1000 ml of boiling water, cover with a lid and a warm scarf and leave for about 40 minutes. Then filter the infusion and drink throughout the day - for example, instead of tea. Such treatment lasts at least a month, after which you should take a break of 10-14 days.
• Mix 100 g of anise seeds with 1 liter of honey and leave for three days at room temperature. Take 1 teaspoon of the mixture three times a day before meals.
• The sage plant is widely known as an excellent anti-inflammatory and regenerating agent. To make a cure for hydrosalpinx, take 1 teaspoon of sage, brew it in a glass of boiling water, and leave it for half an hour in a closed container. The resulting amount of infusion should be drunk during the day (for example, three times). Such treatment can last until the condition improves.
• Orthilia secunda is used for hydrosalpinx as often as for other gynecological problems. To make an infusion, take 10 g of the plant, brew it in boiling water (200 ml) and leave for 20 minutes. Take 1 tbsp. of infusion 5 times a day. You can also buy a ready-made alcohol tincture of orthilia secunda at the pharmacy: drink it with water, 30 drops three times a day between meals. The course of treatment using orthilia secunda should last three months.

Homeopathy

The homeopathic treatment program is selected during an individual consultation. During the first few days, homeopathic preparations may cause a slight deterioration in the condition in the form of headaches, nausea, and general weakness. Within a few days, the condition returns to normal.

The most widely used homeopathic remedies are:

• Lachesis – prescribed for inflammatory processes in the genital area;
• Pulsatilla – strengthens the immune system, stabilizes reproductive function;
• Gormel – restores the functioning of the internal reproductive organs;
• Gynecoheel – promotes restoration of damaged tissues;
• Apis – used to treat inflammatory processes affecting the pelvic organs.

Homeopathic prescriptions must be combined with the main treatment, as well as with the intake of folic acid, B vitamins, additional sources of magnesium, potassium, and zinc.

Surgical treatment

Surgery is usually recommended for all women diagnosed with hydrosalpinx who plan to become pregnant in the future. Today, the main method of surgical access for this disease is laparoscopy. This procedure can have several varieties. The doctor decides what exactly to apply to the patient.

• Tubectomy is the resection of a tube, or both tubes. It is an extreme case when no other treatment is considered.
• Salpingostomy involves creating an opening in the fallopian tubes to connect them to the abdominal cavity.
• Fimbriolysis aims to release villi, clear adhesions and remove fluid.
• Salpingo-ovariolysis is the excision of adhesions in the tubal lumen.

Laparoscopy for hydrosalpinx is always a more preferable method. Such an operation is relatively quick, as is the recovery after it. At the same time, the structure of the organ suffers minimally, which significantly increases the woman's chances of further pregnancy.

Laser treatment of hydrosalpinx is considered a physiotherapeutic procedure: such therapy is appropriate if surgery is impossible for some reason. The affected area is exposed to laser light radiation - its power is 5-100 W. Thanks to the procedure, metabolic reactions are optimized, adhesions are softened, and the patient's chances of pregnancy increase.