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Pelvic inflammatory disease worries about ectopic pregnancy, what should I do? Can I still conceive?

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Pelvic inflammatory diseases, commonly known as “pelvic inflammatory disease,” include endometritis, salpingitis, tubo-ovarian abscess, and pelvic peritonitis. Delay in the diagnosis and effective treatment of pelvic inflammatory diseases can lead to conditions such as tubal factor infertility, acute pelvic inflammatory attacks, ectopic pregnancy, hydrosalpinx, and related issues.

If pelvic inflammation is detected, prompt treatment is recommended to prevent ascending infections. Additionally, what other factors affect successful IVF pregnancies?

1. The Impact of Age

Age is one of the crucial factors affecting the success of IVF treatments. With increasing age, egg quality declines, and the receptiveness of the endometrium decreases. Advanced maternal age leads to higher rates of miscarriage, premature birth, and pregnancy complications.

2. The Influence of Hydrosalpinx on Pregnancy Outcomes

Reflux of hydrosalpinx into the uterine cavity can cause the accumulation of fluid, mechanically interfering with the interaction between the embryo and the endometrium. The fluid contains microbes and debris that can enter the uterine cavity directly, affecting embryo implantation. Substances from hydrosalpinx have a negative impact on embryo development, decreasing implantation and pregnancy rates and increasing the risk of miscarriage.

Prior to attempting IVF again, successful removal or ligation of hydrosalpinges significantly improves success rates.

What specific adverse effects are manifested in pelvic inflammatory diseases?

Infertility: Inflammation causing tubal adhesions can lead to infertility.

Ectopic Pregnancy: Pelvic inflammatory diseases may result in ectopic pregnancies.

Chronic Pelvic Pain: Inflammation can lead to pelvic adhesions, scars, and pelvic congestion, often causing lower abdominal discomfort, lower back pain, which worsens after exertion and around menstruation.

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