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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What is infertility?

Infertility refers to the condition where, despite a couple having regular sexual intercourse without contraception for more than a year, the woman does not become pregnant, at which point infertility is diagnosed. Infertility includes primary infertility and secondary infertility. Primary infertility refers to those who have never been pregnant before; secondary infertility refers to individuals who have previously given birth or been pregnant but later, despite trying to conceive for over a year without contraception and having regular sexual intercourse, are unable to become pregnant.

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How is infertility treated?

For the treatment of infertility, it is necessary to address the specific causes of infertility. For instance, infertility caused by partial fallopian tube blockage can be treated conservatively, such as using traditional Chinese medicine enemas and external applications. In cases of severe fallopian tube blockage or blockage at the isthmic part, surgery or in vitro fertilization may be required. Additionally, some women may suffer from undeveloped follicles or anovulation, which necessitates the use of Chinese or Western medicine to stimulate follicle development and ovulation. Good follicle development and ovulation are essential for conception. Furthermore, infertility can also be due to male factors, such as sperm issues, which would require the male partner to undergo treatment at a urology clinic to improve sperm quality before conception can occur.

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Which department should I go to for infertility treatment?

For infertility issues, one should first visit a formal hospital. At the hospital, men can choose to see either a traditional Chinese medicine andrologist or a Western medicine andrologist, while women can opt to visit a traditional Chinese medicine infertility specialist, or a gynecology or obstetrics department. After consulting these departments, doctors will conduct various tests to identify and rule out causes of infertility. Then, based on the test results, they will administer targeted treatments or interventions. This approach helps infertility patients to conceive as soon as possible.

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Precautions for Infertility Examination

Infertility examinations primarily involve tests for both men and women. For men, the examination includes a semen analysis which requires abstinence for 2-7 days. Semen should be collected through masturbation, using a specialized semen collection cup provided by the laboratory. Ordinary condoms should not be used for semen collection. After collection, the semen must be kept warm and promptly delivered back to the laboratory. For women, the examinations include several aspects. First, during the menstrual period, blood is drawn on an empty stomach between the 2nd and 4th days to check hormone levels, and an ultrasound is used to assess the baseline state of the ovaries. Second, between the 3rd and 7th days after the menstrual period ends, when sexual intercourse is prohibited, tests are conducted to examine the uterus and fallopian tubes. These may include hysterosalpingography, hysteroscopy, or laparoscopy to evaluate the condition of the fallopian tubes. Third, monitoring ovulation with ultrasound begins from the 8th to 10th day of the menstrual cycle, tracking the development of follicles and the uterine lining until the follicle matures and ovulation occurs.

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Does taking contraceptive pills cause infertility?

Contraceptives are categorized into short-acting, long-acting, or emergency contraceptives. Commonly, long-acting contraceptives, such as those taken orally once a month, have significant side effects. Prolonged use can lead to menstrual irregularities, facial pigmentation, hyperpigmentation, and amenorrhea. Therefore, long-term use of long-acting contraceptives may result in decreased ovarian function, leading to infertility. Generally, emergency contraceptives and short-acting contraceptives have relatively minor side effects. Occasional use does not have a significant impact, but prolonged use can cause menstrual disorders and hormonal imbalances, which in turn can lead to infertility. Thus, contraceptives are not suitable for everyone, and it is not recommended for women who have never given birth to use oral contraceptives for contraception.