Adhesions and Infertility


Adhesions are scar tissues which form between organs, or between organs and the abdominal wall. They often result from surgery, diseases or infections, such as pelvic inflammatory disease. Some adhesions lead to abdominal pain, bowel obstruction or infertility.
Infertility is caused when the adhesions interrupt gamete transport, or distort the reproductive organs. The fimbria (finger like projections of the fallopian tube) have difficulty receiving the oocyte (egg) after ovulation if adhesions block the entry point or pull the fallopian tube too far away from the ovary. Women who have adhesions are at greater risk of having an ectopic pregnancy, which is a pregnancy outside of the uterus.
In some cases, previous trauma to the uterus from surgeries, terminations or infections results in adhesions in the uterus, known as
Asherman’s syndrome or uterine synechiae. This type of adhesion causes infertility by preventing implantation, and is also linked to recurrent miscarriage.
For someone experiencing pain, irregular menstrual cycles or infertility, a doctor may suspect adhesions as the source. Surgery is the only option to diagnose and treat adhesions. Laparoscopic surgeries are typically performed to remove adhesions, since they cause fewer adhesions than open surgery.
Through out-patient procedures, CNY Fertility Center’s skilled surgeons are able to detect and remove adhesions, thus improving fertility and reducing discomfort. CNY Fertility Centers in Albany and Syracuse both have surgery centers that provide excellent fertility care for pelvic adhesions and other pelvic problems. For more information, contact our offices at 1.800.539.9870 or 1.866.375.4589.