Our expert says:
A pyosalpinx implies a fairly severe infection in the fallopian tube and it is often bilateral (both sided). In general, this will result in tubal damage of a fairly severe nature and maybe permanent. Ideally you should have a laparoscopy done to assess the current status of the fallopian tubes and the rest of the pelvis and then plan further treatment accordingly. In vitro fertilization may be your best option.
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