Get ready for a serious conversation, because it will be about what adhesions in the pelvis. Symptoms, treatment, chances of recovery are all important because the problem is very relevant for women. Perhaps it is she who is to blame for the fact that for some people it does not add up to pregnancy. What methods of treatment can be used at home and what will doctors offer?
Chained together: what causes the “bonding” of organs and why does this happen?
Today, the diagnosis of "commissures in the pelvis" is not uncommon. What it is, how to treat it, whether it is possible to recover and whether it will be possible to become pregnant — that is what patients who have such a pathology are worried about. We will try to answer all these questions simply and easily.
It is very simple to describe what happens in the body in case of adhesive disease, without sophisticated medical terms. All organs of the pelvis (and this is the fallopian tubes, ovaries, uterus, rectum, bladder) on the outside is covered with a thin shiny film - peritoneum. It prevents the organs from sticking one to the other. This is one of the main conditions for their normal operation.
If inflammation occurs, edema develops, and a sticky coating containing fibrin forms on the abdominal cavity. This protein sticks together the adjacent organs. Such fusion is the spike.
Adhesions occur for the following reasons:
- surgery in the pelvis;
- undertreated infections acquired through sexual contact;
- intrauterine device;
- endometrial growth;
- blood in the abdominal cavity.
When should you think about the problem?
If adhesions have formed, the woman in some cases is able to feel it, because they cause discomfort. In order not to confuse them with other types of pain (with menstruation, inflammation), one should imagine how the adhesions in the pelvis hurt.
They give unexpressed, pulling pain in the lower back, groin and abdomen. First, it appears from time to time, then becomes permanent and increases with bowel movements, sexual intercourse, physical exertion; there are painful menstruation, constipation, flatulence, dry mouth.
The chronic form of the disease is often asymptomatic, the woman does not feel any discomfort. The problem is discovered only due to the fact that she turns to a gynecologist, since she cannot manage to get pregnant.
If the disease becomes acute, it can manifest itself with the following symptoms:
- temperature rise;
- general weakness;
- increased pain;
- increased heart rate;
With exacerbation of adhesive disease often develop intestinal obstruction. At the same time, blood pressure drops sharply, a feeling of weakness, weakness appears, and the amount of urine decreases. The pain becomes stronger, accompanied by bloating and asymmetry of the abdomen.
How to find out if there are spikes?
Even doctors, who today are armed with a host of innovative diagnostic technologies, are hard to detect the presence of adhesions. Therefore, they can only suspect such a problem if other reasons for which pain and difficulty in conceiving can arise are eliminated.
On examination, the gynecologist can pay attention to the fact that the uterus and appendages are immobile, as if firmly fixed in one place. On palpation of these organs, the patient complains of severe pain. In this case (in the presence of other characteristic features) such instrumental examination may be prescribed:
- smear on microflora;
- Ultrasound of the reproductive organs;
- PCR diagnostics (to detect hidden genital infections).
If this diagnosis is insufficient, hysterosalpingography is performed. The examination makes it possible to detect obstruction of the pipes.-
At the very least resort to diagnostic laparoscopy. It will allow you to accurately identify spikes, their location, distribution.
If the adhesions process in the pelvis does not allow you to become a happy mother, treatment can be started only after a reliable diagnosis. Therefore, do not refuse to be examined, even if you have to suffer a little.
Is it possible to recover?
Sometimes adhesions can resolve themselves (if the inflammatory focus has disappeared), but in most cases treatment is required. If this is not done, the connective tissue strands will become rough, similar to scars.
Predict the course of adhesive disease is not possible. If her relapses recur very often, then the person can even lose the ability to work. With single spikes, the prognosis is more favorable. If the treatment is performed surgically, recovery is almost guaranteed.
Unfortunately, there is a direct connection between such concepts as adhesions in the pelvis and pregnancy. The strands “glue” the reproductive organs, displace the uterus, cause obstruction of the tubes, disrupt the normal physiology of the ovaries, which makes conception impossible. And that's not all: spikes threaten a woman with an ectopic pregnancy.
How to get rid of adhesions?
When choosing a medical strategy, the stage of the disease, the way the adhesions are located in the pelvis, and the symptoms are taken into account. At first, when pain is still rare, treatment will be conservative. Therapy includes anti-inflammatory drugs. Aloe injections have a very good effect (you will have to make 10 injections). Folic acid and vitamin E are prescribed. This will soften the cords, increase their elasticity, and reduce pain.
A very good result is ensured by the use of physiotherapeutic procedures, in particular, paraffin applications. Such a compress deeply warms the adhesions, which helps their resorption.
If the pills and shots were powerless, you can not do without surgery. It is carried out by laparoscopic method, and it consists in dividing adhesions. This procedure is carried out in one of three ways: by laser therapy, by aquadissection (water is used for dissection), by electrosurgery - the separation is made by an electrocautery. To prevent the organs from growing together again, special solutions (dextran, povilin, fibrinolysin) are injected into the peritoneal cavity, which prevent the re-formation of adhesions. Additionally, drugs containing prednisone and hydrocortisone are used.
Methods of folk therapy
In the early stages of the disease can be useful and help of folk remedies. What can you try to use to eliminate adhesions?
- Flax-seed. It will take 2 tbsp. l such plant materials. Seeds are placed in a piece of gauze and tightly knotted. The bag is immersed in boiling water and held there for 3 minutes. After that, the seeds are cooled, the water is pressed and applied to the sore spot overnight.
- Dried St. John's Wort To prepare the broth, you should take 1 tbsp. l crushed herbs, pour 1 tbsp. boiling water. Boil for 5 minutes. Cool, filter. Consume according to ¼ Art. three times a day.
- Bergenia root (60 g) pour 350 ml of hot water. Give the composition to infuse for 8 hours. Put in the fridge. Make a solution for douching (2 tablespoons. Infusion diluted in 1 liter of boiled water). Do them in the morning and before bedtime.
So you do not have to think about spikes, regularly visit the gynecologist. Properly and in time, treat urogenital infections, refuse abortions, do not change sexual partners. If the disease overtook you, then know - it is treated! Feel free to go for an operation and then give birth to healthy children.