Q. What can be done for lower pelvic pain before periods due to hydrosalpinx?

Answered by
Dr. Ishwar Chandra Rai
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Dec 22, 2018

Hello doctor,

I developed right lower pelvic pain and was asked to do an ultrasound and diagnosed with the presence of hydrosalpinx 10 months ago and took antibiotic for two weeks. From then on I am suffering from right lower pelvic pain that pulls my veins till knee. It begins paining 10 days before my menstrual cycle, and I live with pain for two weeks a month until my period gets over. My period lasts for 8 to 9 days. Found with the bulky uterus and several small uterine fibroids also. I would be grateful if you suggest me some treatment that will bring back my regular life. My age is 37. I have two kids. Both are C-section babies.



Welcome to

Hydrosalpinx is a fallopian tube disorder. In this concern, fallopian tube blocks distally and forms a sausage-like structure. Sometimes it may become painful. A bulky uterus is due to chronic pelvic inflammatory issues. It may lead to irregular and painful menstruation. Fibroids also lead to such conditions.

The Probable causes:

It may be due to genetical, hormonal imbalances or chronic pelvic inflammatory disorders.

Investigations to be done:

USG abdomen, estrogen, thyroid profile, lipid profile.

Differential diagnosis:

Pelvic inflammatory disorders, PCOS, dysmenorrhoea, menororrhagia.

Treatment plan:

If fibroids are present without symptoms then it can be managed naturally. Its size may change as per menstrual cycle. These ayurvedic medicines may be helpful. Rx,
1. Kuberakshadi Vati one tablet, Nityanand Rasa one tablet, Chandraprabha Vati one tablet, and Pushyanuga Churna 2 gm, Styplon one tablet with warm water after meals.
2. Ashokaristam 15 ml twice a day with an equal amount of water after meals.
3. Varunadi Kasayam 15 ml twice a day with an equal amount of water before meals.

Preventive measures:

1. Avoid spicy and fried junk foods.
2. Do regular Kapalbhati Mandukasana anuloma vilom nadi sodhan and bhramari.

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