Can pelvic adhesions cause infertility?

Pelvic adhesions can cause female infertility, mainly because pelvic adhesions can cause pelvic inflammation, which can lead to decreased ovarian function over time, thus leading to female infertility. Therefore, women with pelvic adhesions should receive timely treatment. There are many causes of pelvic adhesions. Women should understand the prevention methods of these causes and pay attention to sexual hygiene and vaginal cleanliness in daily life.

Many people have no symptoms in the early stages of adhesions. However, when the ovaries are damaged over time, it will lead to irregular menstruation, ovulation disorders, and ultimately affect conception.

What are the causes of pelvic adhesions?

1. Pelvic inflammatory disease

Pelvic inflammatory disease is the most common cause of pelvic adhesions. If pelvic inflammatory disease is not treated promptly and correctly or is not completely cured, or the patient is weak, the inflammatory exudate causes pelvic adhesions between the uterine appendages and nearby tissues. Adhesions around the ovaries can cause ovulation disorders, adhesions, twisting, and blockage of the fallopian tubes, thereby causing infertility, ectopic pregnancy, and chronic pelvic pain.

2. Tuberculosis

Genital tuberculosis is secondary to tuberculosis in other parts of the body. It is worth noting that almost all genital tuberculosis involves the fallopian tubes, often leading to extensive adhesions between the fallopian tubes and adjacent organs such as the uterus, ovaries, and intestinal tract, thus affecting female fertility.

3. Endometriosis

The severity of its impact on infertility is related to the extent of the lesion. The ovaries are the most easily invaded organs, and endometriosis lesions are also present in the pelvis, peritoneum, and other organs. Moderate and severe cases may cause adhesion of the ovaries and fallopian tubes, affecting the transport of fertilized eggs.

4. Pelvic surgery and abdominal surgical diseases

For example, cesarean section, appendectomy, etc. can cause pelvic adhesions. Uterine operations such as artificial abortion, induced labor, and incomplete curettage of medical abortion can also cause pelvic adhesions due to ascending infection.

Why do doctors recommend laparoscopic surgery for pelvic adhesions?

1. Laparoscopy can directly observe the entire pelvic cavity, accurately and clearly display the morphological changes and adhesion range of the fallopian tubes, ovaries and uterus, and accurately diagnose pelvic diseases that may cause infertility. At the same time, through the hysterosalpingography with methylene blue, it is possible to dynamically observe whether the fallopian tubes are unobstructed and accurately observe the blockage site, thus avoiding the defects and shortcomings of conventional fallopian tube perfusion.

2. Laparoscopy can separate adhesions, create a fallopian tube opening, and restore the normal anatomical position of the fallopian tube and ovary. At the same time, it can perform electrocautery of pelvic ectopic lesions, removal of mesosalpinx cysts, removal of uterine fibroids, and other surgeries to improve the pelvic environment and increase the pregnancy rate.