The treatment course of our herbal medicine for hydrosalpinx varies from person to person based on detailed information. Generally speaking, treating course can be affected by many factors like the response of you to pill, the severe level of condition, the immunity and self-healing ability and so on, so it is hard to tell you how long you may need. But, generally speaking, most of our patients get a cure with three months and the symptoms caused by this disease can be improved at the end of the first month or the beginning of the second month. Since you are 43 years old, do you have the requirement of giving birth, and how is the quality of your egg? If you still have problems on your egg, the best treatment of you would be IVF. If you do not have the egg quality problem, Fuyan pill would be a good choice for you. You may know that the pregnancy not only can be affected by the environment of fallopian tubes, but also can be affected by the environment of uterus. The IVF can only solve the tubal problems for you but cannot improve the environment of uterus for you. However, fuyan pill not only can solve the tubal condition for you, but also can improve the implantation environment of uterus. Please choose treatment based on your own conditions. If you have other questions, want to know more treatment options, please contact our online doctor via online chat software from 9am to 5.30 pm Beijing time zone, and Monday to Saturday, emails: wuhandrlee@hotmail.com, herbalistlee@yahoo.com, skype: wuhandrlee@hotmail.com or yahoo messengers: herbalistlee@yahoo.com.