Hydrosalpinx can be treated with antibiotics, but oral medications have poor efficacy, due to individual differences, there is no such thing as quick results, if the symptoms are severe, surgery is needed if necessary. Tubal hydrosalpinx is a condition in which the fallopian tubes are filled with fluid, mostly secondary to salpingitis, and can present with clinical symptoms such as irregular menstruation, increased vaginal discharge, and abdominal pain. If the disease is serious and untreated, it can lead to infertility and ectopic pregnancy. Treatment is based on eliminating fluid accumulation and restoring the normal function of the fallopian tubes. Drugs or surgery can be used, and drugs can be used orally with antibiotics, such as penicillin, gentamicin and so on. However, it is difficult to achieve the therapeutic effect with only oral drugs, and it is also necessary to combine with local therapeutic drugs. For example, the use of hyaluronidase can accelerate the penetration and absorption of drugs to strengthen the therapeutic effect. Combined with chymotrypsin can dissolve fibrin, for necrotic tissue, secretions, etc. have the effect of removal. The use of specific drugs in the clinic should follow the doctor’s instructions, so as to avoid adverse reactions affecting the condition. If the effect of drugs is not good, and the symptoms are serious, if necessary, surgical treatment.