How to treat pelvic adhesions?

Patient's question:

Doctor: Hello! I have bilateral tubal blockage and pelvic adhesions, and none of the treatments have been effective. I want to undergo a combined hysteroscopic and laparoscopic surgery. Is that possible?
First follow-up question: I also want to ask which hospital in Guangzhou performs this surgery well? Urgent
Second follow-up question: Do I need to abstain from sexual activity before the surgery?

Doctor's answer:

When necessary, laparoscopy is used to perform pelvic adhesion release surgery for the treatment of pelvic adhesions. The possibility of cure depends on the severity of your condition. If it cannot be effectively controlled, first, pelvic adhesions can cause significant harm to a woman's body. They can lead to menstrual disorders or amenorrhea, as well as symptoms such as lower back pain and abdominal pain, or ovulatory dysfunction in the ovaries. Second, pelvic adhesions involve the uterus, fallopian tubes, and ovaries, which play a crucial role in the reproductive process. If inflammation or infection occurs in these organs, leading to adhesion, the secretion will increase. This secretion, which may contain bacteria or viruses, has a spermicidal effect and can impair sperm vitality. It can affect the normal fertilization of sperm and eggs, thereby impacting a woman's ability to conceive, and may even lead to fetal malformations, miscarriages, or other adverse outcomes.

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