Pelvic scar tissue can cause pain and infertility, and may result from infections, inflammation, or surgery. Medical history is important for diagnosis and treatment options may include surgery or implanting a mesh. Imaging studies can identify the cause of pain or infertility.
Pelvic scar tissue can develop as a result of infection, inflammation, or surgery. Any history of medical problems in the lower abdomen, including the intestines, can be a source of pelvic scar tissue and patients experiencing pelvic pain, infertility and other problems in this region should ensure their doctors have a complete medical history. not just an overview of reproductive health issues. There are some treatment options for scar tissue in the pelvic region if it becomes a medical problem.
Infections, including serious sexually transmitted infections and appendicitis, can cause scar tissue in the pelvis. The infection damages the pelvic tissue, and as the body recovers, it can create scarring. This can lead to thickening of the pelvic structures and the creation of adhesions, bands of tissue that form abnormal attachments. Adhesions can force structures in the pelvis into an unnatural position or limit range of motion.
Inflammations, such as those seen with pelvic inflammatory disease and irritable bowel disease, are another possible cause. Chronic inflammation can cause serious health problems, as the body never has the opportunity to fully recover. Cells can begin to grow abnormally, proliferate, and create abnormal growths as well as scar tissue in response to the inflammation. Patients with inflammation may notice symptoms such as intermittent pain, nausea and diarrhea, depending on the location of the inflammation.
Surgery can cause adhesions. Surgeons are careful during all procedures to limit scarring and protect patients, but bands of scar tissue can form even after a perfectly performed procedure. One problem with surgical adhesions is that surgery to remove scar tissue could potentially make the scars worse. The surgeon may use techniques such as implanting a mesh to prevent scar tissue from forming, with the goal of keeping the patient’s pelvic region pain-free in the future.
When patients experience pelvic pain, a doctor may order a medical imaging study to check for pelvic scar tissue, abnormal growths, and other possible causes of the pain. A thorough examination is needed to accurately identify the cause. Sometimes the scars cause no pain and are the result of a different underlying problem, while in others, surgery to treat the scars may be a good treatment option. Scarring can also be diagnosed during an infertility evaluation, as scarring in the wrong places can make it difficult for patients to get pregnant. In this case, a doctor may recommend certain fertility treatments to address the problem.
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