Can cervical adhesions lead to pregnancy

Cervical adhesions may affect pregnancy, but they do not necessarily lead to infertility. Cervical adhesions are usually caused by surgical trauma, infection, inflammation, and other factors, and may manifest as symptoms such as menstrual abnormalities, dysmenorrhea, and infertility. Mild adhesions may lead to natural conception, while severe adhesions require medical intervention. When the degree of cervical adhesion is mild, there may still be small channels allowing sperm to pass through, and women have a natural probability of conception. Some patients can be found to have normal ovulation and appropriate endometrial thickness through ultrasound monitoring. In such cases, with the guidance of doctors on sexual intercourse time, pregnancy may be achieved. Mild adhesion patients need to strengthen prenatal monitoring after pregnancy to prevent the risk of miscarriage or premature birth. Moderate to severe cervical adhesions may completely block the cervical canal, preventing sperm from entering the uterine cavity and combining with the egg, resulting in a very low probability of natural conception. Some patients may experience periodic lower abdominal pain but no menstrual flow, indicating uterine bleeding. This type of situation requires hysteroscopic surgery to separate adhesions, and postoperative placement of intrauterine devices or balloons to prevent reattachment. Pregnancy can only be attempted after endometrial repair. During the preparation period for pregnancy, if cervical adhesions are found, they should be evaluated as soon as possible. Doctors will recommend observation or surgical treatment based on the degree of adhesion. After surgery, it is necessary to follow the doctor's advice to use estrogen to promote endometrial growth, and regularly check the recovery of the uterine cavity. Pay attention to perineal hygiene in daily life to avoid infection, balance protein and vitamin supplementation, and moderate exercise to improve pelvic blood circulation. These measures can help increase the success rate of conception.