Q&A: Will adhesions affect my chances of getting pregnant?

by Dr. Gerard M. DiLeo

My doctor assures me that I'll have no problems getting pregnant, but I'm curious as to what you would think. Over the last couple of years I've had problems getting rid of bacterial infections and kept having pains in my abdomen. I had an laparoscopy done, they found varacies (varicose veins in my uterus), a cyst on one of my ovaries and adhesions. I'm only 27 and I've never had kids and I've never had any kind of surgery down there. We've been trying to conceive for 6 months, I even bought a fertility monitor, and nothing's happened. Is there someting else I should try or do?

Adhesions are caused usually by previous surgery, infection, or endometriosis. If you've had no previous surgeries, then I wonder if you've had endometriosis in the past--your doctor can tell you if the adhesions encountered looked like old burned out endometriosis. If not, then could you have possibly had a Chlamydia infection in the past? (The bacterial infections in the vagina you talk about are totally different and usually don't interfere with conception.) You might need a test to tell if your tubes are open. Also, since half of all infertility is male related, has your husband had a sperm analysis?

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