Pelvic Adhesions

An adhesion is scar tissue that can make the tissue or organs inside your body stick together. All organs in your abdominal cavity are covered with smooth, slippery tissue allowing organs to slide past each other. However, when the surface becomes damaged and inflamed, scar tissue forms, which allows organs stick to each other. These bands of scar tissue are called adhesions.

Adhesions cause infertility as they form inside or around the ends of the fallopian tubes, which may block an egg and sperm from meeting. If the tubes are partially blocked by adhesions, sperm may meet the egg, but the fertilized embryo may be trapped, resulting in an ectopic pregnancy. Adhesions that develop on the ovaries may disrupt ovulation and those that develop inside the uterus may prevent a fertilised egg from implanting properly.

Symptoms of Pelvic Adhesions

Many women who have adhesions do not have any symptoms—except for infertility. Otherwise you may experience abdominal pain, bowel obstruction, abdominal or pelvic pain, menstrual cramps, tenderness and pain during intercourse.

Causes of Pelvic Adhesions

Anything that causes damage to the covering of the organs in the abdominal cavity may result in adhesions. Surgical procedures, infections, and inflammation from endometriosis are the most common causes. It is not uncommon for adhesions to form after bowel surgery or surgery for appendicitis. Surgery on the ovaries, fallopian tubes, uterus, or cervix may also lead to adhesions.

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