Can pelvic effusion cause infertility?

Written by Shen Li Wen
Obstetrics and Gynecology
Updated on January 13, 2025
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Usually, pelvic effusion in women does not lead to infertility. For instance, physiological conditions in women, such as during the menstrual period or around ovulation, can lead to a small amount of leakage in the pelvic cavity. During an ultrasound, this may appear as a small amount of pelvic effusion, which is usually absorbed normally and does not affect pregnancy.

However, if a woman's pelvic effusion is due to inflammation, and this inflammation affects the fallopian tubes or ovaries, causing inflammation in these areas, it might impact the woman's ability to conceive normally.

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Written by Zhang Xiu Rong
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Secondary infertility refers to a condition where a person is unable to become pregnant or carry a pregnancy to term following the birth of one or more biological children.

Infertility is divided into primary infertility and secondary infertility. Primary infertility refers to never having been pregnant before, which is called primary infertility. Secondary infertility generally occurs in individuals who have had children or a history of miscarriage and have been unable to conceive again after trying for a year, thus constituting secondary infertility. It is essential for those with secondary infertility to undergo relevant fertility tests at a hospital. Typically, the clinical evaluation includes a semen analysis for the male partner, and for the female partner, tests such as Mycoplasma and Chlamydia detection, endocrine examinations, immunological tests, and assessments for fallopian tube patency and related endocrine tests. Generally, through these tests, the cause of secondary infertility can be identified, and treatment can be tailored based on the results. In cases of secondary infertility, the vast majority can achieve conception through targeted treatment.

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Written by Kang Jian Hua
Reproductive Center
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The difference between infertility and sterility

In clinical practice, we often mention infertility and sterility, so what is the difference between them? Let us take a look. Infertility refers to a condition where a couple has regular sexual intercourse, does not take any contraceptive measures, and the duration reaches over a year, yet the female cannot become pregnant; this is called infertility. If the male can cause the female to become pregnant, or has previously impregnated a woman, but she cannot carry a baby to term, we call this sterility. This is the difference between infertility and sterility.

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Written by Kang Jian Hua
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Do you test for TPPA for infertility?

TPPA testing is a diagnostic test for syphilis, used in cases of infertility. Typically, general hospitals do not include syphilis testing. If there is a high risk of syphilis, such as if either partner has a history of unprotected sexual intercourse, or if syphilis is suspected during pre-marital, prenatal, or pre-pregnancy examinations finding TP positive, a request can be made for TPPA testing. Diagnosis of syphilis requires both TPPA and RPR titers; the condition is assessed based on these two indicators.

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Written by Li Li Jie
Obstetrics and Gynecology
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Can chronic bacterial vaginitis lead to infertility?

Long-term bacterial vaginitis can lead to infertility. If bacterial vaginitis occurs, a large number of bacteria proliferate in the vagina. When sperm enter, they may quickly die off. Even if they do not die, their quality is greatly reduced. Vaginitis results in a significant increase in vaginal discharge. The secretions contain a large number of white blood cells, which can hinder the survival of sperm, thus potentially causing infertility. Therefore, women must pay attention to personal hygiene. Once the inflammation of bacterial vaginitis becomes severe, it can spread to the uterine cavity and cause more serious diseases such as adnexitis and pelvic inflammatory disease. If not treated promptly, these can lead to infertility. It is important to develop good hygiene habits regularly.

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Written by Li Shun Hua
Obstetrics and Gynecology
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Can uterine bleeding cause infertility?

Uterine bleeding can be normal or abnormal. Normal uterine bleeding refers to menstruation, which does not lead to infertility. Lack of uterine bleeding may indicate abnormal endocrine function, which could potentially cause infertility. However, if uterine bleeding occurs at times other than menstruation, it is considered abnormal uterine bleeding. There are various causes for abnormal uterine bleeding, and it can affect pregnancy. The most common reason for abnormal uterine bleeding is hormonal imbalance, which leads to irregular ovulation and may result in infertility.