What should I do if I have pelvic inflammatory disease and am pregnant?

Patient's question:

I had an abortion surgery without anesthesia in February 2011. In March, I went to the hospital for a follow-up check-up, and the results showed mild vaginitis and mainly pelvic inflammation, with severe pelvic effusion. There weren't any significant symptoms, so I didn't seek treatment. But now I'm pregnant, and I really want this child.

Doctor's answer:

The main scope of recurrent pelvic inflammatory disease is limited to the fallopian tubes, ovaries, and pelvic connective tissues. For this very reason, pelvic inflammatory disease is the second most common gynecological condition that hinders pregnancy. The most common form of pelvic inflammatory disease is tubal inflammation. Due to local inflammatory stimulation, it can lead to fallopian tube blockage or incomplete obstruction, affecting the movement of sperm and eggs, and is often associated with recurrent ectopic pregnancy. Pelvic inflammatory disease can also cause fallopian tube hydrops and tubo-ovarian adhesions: in the later stages of inflammation, adhesions form, leading to fallopian tube hydrops,, and adhesions or cyst formation affecting the ovaries. This directly impacts recurrent infertility.

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