Does pelvic inflammatory disease cause infertility?

Patient's question:

A 28-year-old woman is in poor mental state and feels sick. After checking, she was diagnosed with pelvic inflammatory disease. Please ask: Can pelvic inflammatory disease lead to infertility?

Doctor's answer:

Of course not. If pelvic inflammatory disease (PID) is not diagnosed or treated promptly and correctly, it may lead to chronic pelvic inflammatory disease, which is a sequelae of PID. The main pathological changes include tissue destruction, widespread adhesions, fibrosis, and scar formation! PID can lead to: ① tubal obstruction and thickening; ② tubal-ovarian adhesion forming tubal-ovarian masses; ③ if the fimbriae of the fallopian tube are locked and replaced by serous exudate, forming tubal hydrops or tubal-ovarian cysts; ④ pelvic connective tissue shows changes such as basal fibrosis and thickening of the sacro, and if the inflammation is extensive, it may cause uterine fixation.

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