###Human: What can be done for lower pelvic pain before periods due to hydrosalpinx? ###Assistant: Hi. 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. It may be due to genetical, hormonal imbalances or chronic pelvic inflammatory disorders. USG abdomen, estrogen, thyroid profile, lipid profile. Pelvic inflammatory disorders, PCOS, dysmenorrhoea, menororrhagia. 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. 1. Avoid spicy and fried junk foods. 2. Do regular Kapalbhati Mandukasana anuloma vilom nadi sodhan and bhramari.