Does tubal patency but pelvic adhesions affect pregnancy?

Patient's question:

I am 24 years old this year, divorced for more than a year, but I haven't been able to get pregnant, so I had to go to the hospital for a thorough check-up. They said my fallopian tubes are open but there is pelvic adhesion. When I went, it was too late, and the doctor had already gone home, so I didn't get a careful check of the results in a hurry. So I'd like to ask how open fallopian tubes with pelvic adhesion can interfere with getting pregnant?

Doctor's answer:

This situation can also affect pregnancy, and the likelihood of a recurrent ectopic pregnancy is relatively much higher. For pelvic adhesions, it is recommended to primarily consider surgical fusion. Generally, minimally invasive surgery can be performed. After the surgery, it is necessary to pay attention to anti-inflammation and prevent re-adhesion. Wait until the recovery is almost complete before considering pregnancy. It is best to wait for more than three months during this period, otherwise, if a recurrent ectopic pregnancy occurs, it will be more difficult to resolve.

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