Removal of adhesions

The dream of every wife is to become a mother and create a happy family, so the realization of the dream does not stop at obtaining one child, but the dream extends to forming a family with more than one child and achieving family balance. We find adhesions stand in the way for women who suffer from the problem of delayed pregnancy, whether primary or secondary, especially those who want to have a second or third time and turn to the process of removing adhesions.

What are adhesions?

It is a reaction of the body whose reasons are not yet known, this reaction occurs in the place where any type of surgery was performed, or any type of inflammation occurred, whether acute infections or chronic infections.

A band of tissue is formed that binds two organs, either similar or different tissues to each other, and causes some symptoms that vary between some pain or delayed pregnancy.

Therefore, the symptoms determine how to treat and remove adhesions, so let’s know what are the causes of adhesions.

Causes of adhesions

As we mentioned before, the real and main cause of the formation of these adhesions is unknown, and on the other hand, some factors lead to them, including

Factors contributing to the occurrence of abdominal adhesions

Previous surgeries with abdominal opening such as cesarean section or fibroid resection. Typical surgeries such as the removal of part of the intestine or cholecystectomy and others.

• Acute and chronic infections such as chronic pelvic inflammation.
• The explosion of various ovarian cysts, especially chocolate cysts.
• Endometriosis.
• The presence of an abscess in the abdomen is because pus is one of the main triggers for the formation of adhesions.

Factors for the occurrence of uterine adhesions

• The process of curettage or emptying of the contents of the uterus as in the case of recurrent miscarriages.
• Infections or severe infections of the uterine cavity and tubes.
• Inflammation of the tubes leads to blockage of the fallopian tubes causing aqueous infiltration, which prevents sperm from reaching the oocyte and completely prevents fertilization in both tubes.
• Untreated vaginal infections that reach the uterus or tubes cause adhesions.

What are the symptoms of adhesions?

There may not be any symptoms of adhesions and they are discovered by chance during an operation, but there are some symptoms that can be caused by severe adhesions and they are as follows:

• Chronic pelvic pain is controlled by taking painkillers.
• Pains during intercourse.
• Severe pain at the time of the menstrual cycle.
• Difficulty urinating, or chronic constipation with abdominal bloating.
• Feeling nauseous and vomiting.

The effect of adhesions on pregnancy

Adhesions are one of the most common factors that lead to delayed pregnancy, whether a primary or secondary pregnancy is delayed, so we need to remove adhesions.

Adhesions in the abdomen twist or block the fallopian tubes, which hinders the passage of sperm through them, so fertilization fails and pregnancy does not occur.

Internal adhesions inside the uterus can also cause blockage of the fallopian tubes, which hinders the flow of sperm movement toward the fallopian tubes.

In the case of fertilization, adhesions prevent the fertilized egg from implanting properly in the lining of the uterus to complete pregnancy or may lead to recurrent miscarriage.

How to treat adhesions

The diagnosis and treatment of severe adhesions depend mainly on modern methods such as laparoscopic intervention, which is useful in some cases but not all cases, or different treatment methods as follows:

Laparoscopy to remove adhesions

Through it, the adhesions inside the abdominal cavity are cleared, and chocolate cysts can also be removed, in addition to removing and loosening external adhesions around the tubes.

But some may hear about performing a laparoscope for a woman without any intervention to unscrew and remove these adhesions, because any intervention to untie her or deal with her wires may cause catastrophic problems, and exit without any intervention is the best option and is called (a safe exit).

As a result, the perfect solution for these cases, ICSI, is used as a safe solution for cases of tube blockages resulting from severe adhesions.

Hysteroscopy

is Where the doctors of the Riyadh Fertility Center can remove uterine adhesions, and any birth defects such as (uterine septum, and fibroids).

All these adhesions fill the uterine cavity and hinder the implantation of the fertilized oocyte in the endometrium and impede pregnancy.

X- rays

X- rays have a diagnostic role and sometimes a therapeutic role as well, through which the tubes can be wired by injecting certain amounts of dye in a certain way.

Currently, it is possible to inject some substances that prevent or reduce the formation of severe adhesions in cases where this is expected.

These materials can also be injected during laparoscopic procedures or during various surgeries in places where adhesions are expected.

In the end, there are many causes of delayed pregnancy and many adhesions, the most common of which work on a blockage or twisting of the tubes, so it is preferable to remove adhesions and endoscopic fallopian tubes because of their effective and tangible role in treating delayed pregnancy at Riyadh Fertility Center.