Tag Archive for laparotomy

Infertility due to Ovarian Cysts

By Jackie

Each month, an egg grows in a tiny fluid-filled sac that bursts open during ovulation to release an egg. Sometimes, the sac doesn’t break open and continues to fill with fluid, forming a functional cyst (the most common type of cyst). A functional cyst generally goes away after one to three months, but if it doesn’t, a doctor made need to surgically remove the cyst. A doctor may also choose to operate if the cyst is painful, large, continues to grow, or is present with several other cysts.

Cysts can be removed through laparoscopic surgery or through laparotomy (open surgery), both of which can preserve a woman’s fertility. However, adhesions can form as a direct result of surgery. Adhesions are tiny strands of collagen that form after any injury to the body. Collagen rushes to the site to contain the area and help it heal. As the collagen builds, it forms an adhesion that remains throughout life. Adhesions that form near the ovaries or fallopian tubes can constrict these structures, causing multiple complications and infertility (please see adhesions and infertility). Thus, the surgery to remove ovarian cysts can cause a woman to experience infertility.

However, women who elect to not undergo surgery or whose cysts go away, may still experience infertility due to adhesions that formed as a response to the inflammation caused by the ovarian cyst.

At CPT, we specialize in reducing and breaking-apart adhesions with manual physical therapy techniques. We have been able to help numerous women become pregnant after years of infertility, previous surgeries, ovarian cysts, endometriosis, and other conditions.

One such patient was Jacqueline, who came to us for treatment after two surgeries to remove ovarian cysts. During her first surgery at age 22, her doctor removed 10% of one ovary and 60% of the other due to complex cysts. When Jacqueline and her husband later tried to conceive, they were dismayed to find they couldn’t become pregnant.

One year later, Jacqueline began experiencing severe pain in her abdomen. She went to the hospital and was rushed to emergency surgery to remove a peritoneal cyst. After the surgery, her surgeon told her, “We were able to remove the cyst, but your ovaries and fallopian tubes were buried by adhesions.”

After this startling diagnosis, Jacqueline searched for alternative treatments and found our clinic. We began treating her with our 20 hour treatment protocol, but she had to leave before treatment was finished due to a family emergency.

Before she returned to our clinic, she completed a few tests with her doctor. She had an ultrasound and learned that she no longer had any visible adhesions since our treatment. Her second test, an HSG, showed that her tubes were blocked with liquid (hydrosalpinx).

When Jacqueline returned for treatment, our therapists focused on her fallopian tubes. Afterward, Jacqueline finally became naturally pregnant and later gave birth to a full-term baby.

To learn more about our treatment for adhesions and infertility, please visit our female infertility page.