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Pelvic Adhesions & Fertility

Pelvic adhesions are bands of scar tissue that can cause pelvic organs or tissues to adhere to one another. This page explains potential causes, fertility implications, diagnosis, and treatment considerations.

Summary:
  • Pelvic adhesions are bands of scar tissue that can cause pelvic organs or tissues to stick together.
  • They may develop after surgery, infection, endometriosis, inflammation, or other pelvic injury.
  • Adhesions can sometimes distort reproductive anatomy or interfere with fallopian tube function.
  • Diagnosis may be suspected from history or imaging but is sometimes confirmed during surgery.
  • Treatment decisions depend on symptoms, anatomy, fertility goals, and the potential benefits and risks of surgery.

What Are Pelvic Adhesions?

Pelvic adhesions are bands of scar tissue that can cause organs or tissues within the pelvis to attach to one another. They may develop after surgery, infection, inflammation, or conditions affecting the pelvis and can sometimes contribute to pelvic pain.

Pelvic Adhesions & Fertility

Adhesions may affect fertility if they distort reproductive anatomy, restrict movement of the ovaries or fallopian tubes, or contribute to tubal blockage. Their significance depends on location and extent.

How Pelvic Adhesions Are Evaluated

Imaging can sometimes suggest altered pelvic anatomy, although adhesions themselves may be difficult to visualize without surgery. Fertility evaluation can help determine whether suspected adhesions are likely to be clinically important.

Common Pelvic Adhesion Questions

Can pelvic adhesions affect fertility?
Yes. Adhesions may alter pelvic anatomy or interfere with fallopian tube function in some patients.

Can imaging detect pelvic adhesions?
Sometimes imaging suggests altered anatomy, but adhesions themselves may be difficult to visualize without surgery.

Does surgery for pelvic adhesions improve fertility?
It may help in selected cases, but adhesions can recur and surgery is not automatically the best fertility treatment for every patient.

Understanding Pelvic Adhesions in the Context of Your Fertility

Pelvic adhesions do not affect everyone in the same way. Their significance depends on where they are located, whether reproductive anatomy has been altered, and whether the fallopian tubes or ovaries are affected. Spring Fertility can help determine whether adhesions are likely to be relevant to your fertility and whether treatment or a strategy that bypasses them may be most appropriate.

Ready to Get Started?

Schedule a consultation with Spring Fertility to discuss your options.

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