HealthDiseases and Conditions

Adhesive process in the pelvis

Adhesive process in the small pelvis can occur due to inflammation or surgical intervention in this area. Often a woman does not even guess that she is suffering from this disease.

Consequences and signs of adhesive process in the pelvis can be the following:

  • Pelvic pain;
  • infertility;
  • Constipation;
  • ectopic pregnancy;
  • Stagnant phenomena;
  • Varicosity;
  • Sexual dysfunction;
  • Violation of the functions of the affected organs;
  • Recurrent inflammations.

However, the treatment of patients is usually caused by problems with pregnancy and pelvic pain, which are quite strong. Due to inflammation caused by STDs or nonspecific pathogens, there are spikes between pelvic organs .

According to statistics, 50% of women who have found an adhesive process in the small pelvis are found chlamydia. Quite often the cause of the disease is gonococci, as well as nonspecific pathogens.

They lead to the fact that the lumen of the fallopian tubes is closed, since they bend. This prevents sperm from entering the egg, and fertilization does not occur.

If it still happens, but the zygote can not get into the uterus in time because of the obstruction of the tube, then its implantation will occur in the wall. This creates an ectopic pregnancy, which is very dangerous for a woman. To help save lives and health can only timely diagnosis with the help of early ultrasound and endoscopy.

This is a modern method that allows you to detect the adhesive process in the small pelvis and immediately eliminate the pathology. The effectiveness of endoscopy in the absence of a pathological process in the pipes is on average 55%. Carrying out a second operation is not advisable.

But the adhesive process in the small pelvis, the treatment of which is conservative and operative, as a rule, can not be completely eliminated. However, modern technology can significantly improve the patient's condition.

Conservative treatment - elimination of inflammation, administration of immunomodulators and enzymes, which make the adhesions more elastic and prevent their further formation. In addition, mud therapy, physiotherapy and gynecological massage are effective .

To eliminate inflammation, drugs are taken, to which the pathogens are sensitive. Before this, crops and DNA diagnostics are made to help identify them.

But the tactics of treatment determine the severity of the process. Sometimes it is necessary first to cut existing spikes surgically. This is done with the help of laparoscopy, which is used for both diagnosis and treatment. However, spikes can form again, so it is important to maintain the result with conservative treatment.

With laparoscopy, only a few incisions are made. Through them, the necessary tools are introduced, including a special optical device. The doctor examines the peritoneum, uterus, tubes, ovaries. Hospitalization in this operation is from 1 to 3 days. A week later, a maximum of two women can go to work.

To avoid this disease, preventive treatment after surgery, abortion and even laparoscopy is necessary. Inflammation, which leads to the formation of adhesions in 30% of cases, should also be accompanied by measures aimed at preventing their occurrence.

So, the adhesive process in a small pelvis can not be cured completely, however, the patient's condition can be substantially improved. After surgical and conservative treatment, pelvic pain is reduced, and it becomes possible to become pregnant. According to statistics in Russia, this disease is the cause of infertility in more than 4 million couples.

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