Whether it is possible pregnancy with inflammation of the ovaries
The main purpose of a woman is the procreation, i.e. the birth of a child. To perform this biological tasks in the body, a reproductive system. If it works smoothly, it problems with the pregnancy is not observed. However, the various diseases of this system can hinder or even make impossible the emergence of new life.
Adnexitis: causes and mechanisms of development
Often women face adnexitis is inflammation in the uterine appendages: the ovaries and (fallopian) uterine tubes. Another name for this disease – oophoritis. Inflammation begins on the background of reduced immunity, with a small infectious lesion develop into a serious disease. Many patients find the voices of the diagnosis, the question arises – is it possible to get pregnant when inflammation of the appendages? To answer it is necessary to understand the causes and manifestations of the disease.
For proper diagnosis the woman needs to pass the required tests, pass examination by a gynecologist and ultrasound examination. Preferably as early as possible to identify the disease and begin treatment, because running inflammatory processes in the appendages and ovaries almost always become chronic, which leads to the formation of adhesions and other complications.
Experts identify several risk factors for the development of adnexitis:
- inflammatory processes in neighboring organs;
- infectious diseases of the sexual sphere;
- reduced immunity;
- General hypothermia;
- stress to the nervous system (stress, fatigue);
- botched abortions in anamnesis;
- negligent performance of hygienic rules.
The immediate cause of adnexitis becomes infected by pathogenic viruses and bacteria during unprotected sex (especially dangerous chlamydia, streptococci, staphylococci, and gonococci, as well as Mycoplasma and Ureaplasma). Not exclude the activation of a private flora on the background of reduced immunity. The likelihood of adnexitis increases after undergoing abortion and miscarriage.
Pregnancy adnexitis: is there a chance?
That possibility exists, but it is small. First of all, because of the inflammation slows down ovulation i.e. maturation of the egg. Further, even if there was fertilization, in the way of the egg to the uterus to attach, you may receive an impassable obstacle due to the appearance in the lumen of the fallopian tubes of adhesions. Pathogens also disrupt the normal physiology and the promotion of eggs. In such cases, the high likelihood of an ectopic pregnancy, since in adverse conditions due to inflammatory processes egg moves slowly and is attached outside of the uterus, and by the way – on the walls of the ovaries or fallopian tubes. The result is always the same – early operational interruption of such pregnancy and possible infertility.
The answer to the question, is it possible to get pregnant when inflammation of the ovaries, depends on several other factors: the type and duration of existing inflammatory process in the genital area, the presence of comorbidities, the patient’s age and individual peculiarities of an organism.
Complications of pregnancy in adnexitis
The presence of pathological inflammatory processes in the appendages is not a 100% hindrance to pregnancy. However, the onset of pregnancy is often associated with many complications.
- First of all, a high probability of fetal infection with various viruses and bacteria circulating in the mother’s body. This happens against the background of the lowered immunity of the woman and violation of protective properties of the placenta. The result of this condition may be a regression of pregnancy, premature birth or spontaneous miscarriage.
- Inflammation of the appendages during pregnancy is accompanied by increased thrombosis and production of antibodies, which threatens the development of thrombohemorrhagic crisis with subsequent placental abruption and miscarriage.
- Another serious complication of pregnancy, occurring on the background of chronic adnexitis is a molar pregnancy. This term denotes the situation when the fertilized defective ova, and the embryo is not formed, or fertilization 2 sperm (i.e., chromosomes are much more than the norm) and the embryo is formed partially. Initially an embryo is not viable, there is only growth hormonally villi, including outside the uterus to other organs. Possible degeneration into a malignant tumor. The effects have to resolve quickly, sometimes chemotherapy is applied.
- Due to hormonal imbalance in chronic inflammation of the ovaries, normal development of the fetus can be broken, also can it be a blighted ovum and a miscarriage.
The most common complications of pregnancy on the background of chronic adnexitis presented in the table.
|The first trimester (before 12 weeks)||Spontaneous miscarriage, regressing pregnancy, intrauterine infection of the fetus||Treatment aimed at maintaining a pregnancy, antibiotic therapy|
|II trimester (13-24 weeks)||Spontaneous miscarriage, placental insufficiency, placenta previa||Preserving therapy, tools to improve uteroplacental blood flow|
|III trimester (25-40 weeks)||Premature birth, placental insufficiency, fetal hypoxia, fetal growth retardation, polyhydramnios||Preserving therapy, tools to improve uteroplacental blood flow, antibiotic therapy, the decision on delivery|
|Postpartum period||Postpartum endometritis||Antibiotic therapy|
The effects and their prevention
Best of all, without waiting for the trouble to engage in the prevention of diseases of female sexual sphere and not to be risk factors for inflammation. Then you can get pregnant at any time.
If inflammation of the ovaries or appendages already diagnosed using tests, swabs from the vagina and the ultrasound examination showed the presence of inflammation — do not despair. In the current gynecology is highlighted, the whole direction of involved in the treatment of inflammations of the uterine appendages. His goal is to stop the pathological processes, to cure their consequences and to restore the normal operation of the female genitalia for the onset of physiological pregnancy and successful delivery. Therapy is conducted conservatively, with medication and physiotherapy. Dosed can be applied to herbal medicine as a support.
Once restored the normal functioning of the uterus, medication is adjusted by hormones (usually using oral contraceptives), metabolism (through a balanced nutrition) and immune system (with vitamin).
After recovery, confirmed by tests and visual inspection of a gynecologist, should take at least 3 – 6 months physiologic functioning of the ovaries, after which you can begin planning your pregnancy and tune in to the birth of a healthy child.