How Pelvic Adhesions lead to Infertility in women?
Pelvic scar tissue and adhesions are mostly caused by pelvic infections known as pelvic inflammatory disease (PID) or pelvic endometriosis. Scarring of tissue may happen due to natural recovery post-pelvic surgery.
When the abdomen gets damaged due to disease or surgery, it causes formation of adhesions. Adhesions are basically bands of scarred tissue located between the abdominal organs such as uterus, fallopian tubes, ovaries or bowels or the wall of the abdomen.
Adhesions can act as an obstacle in conceiving for becoming pregnant depending upon their position. If you are unable to conceive, you are advised to get a CT or MRI scan if there are minor pelvic adhesions, while in case of pelvic adhesions on the higher side, an ultrasound is the best option.
What are the common symptoms causing Pelvic Adhesions?
A couple of diseases causing the eruption of pelvic adhesions as follows:
- Pelvic Inflammatory Disease (PID)
- Mild Infections caused due to blocked fallopian tubes
In addition, Appendicitis colon inflammation and gall bladder inflammation are uncommon causes of infertility triggered by pelvic adhesions. A surgery especially performed on the ovaries, uterus or fallopian tubes significantly contribute in development of adhesions.
However, any surgery may lead to adhesions, traditional after an open surgery rather than minimally invasive surgery or laparoscopy. A minimal invasive surgery causes lesser tissue. If you think, you require a surgery then you should consult your doctor for immediate treatment.
What are the common problems faced by patients with pelvic adhesions?
Infertility and pregnancy issues
Adhesions located in the women’s ovaries or fallopian tubes reduce your fertility potential. Women with adhesions around Fallopian tubes have higher risks of ectopic. Adhesions present within the womb result in recurrent miscarriages. Such adhesions are called Asherman’s syndrome.
Adhesions diagnosed in the small intestine (bowel) cause partial or full blockage in the bowels. When this happens, you may experience the following symptoms:
- Severe recurring pain due to cramps in the abdomen
- Sickness or vomiting feeling
Adhesions may result in abdominal or pelvic pain if the organs fix themselves in an abnormal position.
How to diagnose and get relief from pelvic adhesions?
Surgery is the only possible way to identify the presence of pelvic adhesions. If you are facing troubles in conception then undergoing a minimally-invasive laparoscopy surgery to remove any adhesions is the most suitable treatment option. Laparoscopy involves examining the condition of the pelvic organs through delicate microscope under the influence of local anesthesia. If the presence of endometriosis or adhesions is determined, it can be cured through incisions of specialized surgical equipments.
Pelvic adhesions can be a seriously harmful quality of life issue. International Fertility Centre is a leading IVF clinic in India which aspires to provide best-class assisted reproduction treatments across the world.
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