Adhesions and Scar Tissue
During her normal monthly cycle, a woman’s ovaries produce hormones to stimulate the wall of the uterus to prepare for pregnancy. The cells of the uterine wall (endometrial cells) multiply, thicken, and await the arrival of a fertilized egg. If no egg arrives and attaches, these cells are flushed from the body, as evident by the menstrual bleeding.
However, when endometriosis is present, these same cells are found outside the uterus and, just as they do on the uterine wall, they also thicken and multiple. In addition, these cells attempt to flush from the body through bleeding, but with no way for this blood to leave the body, resulting in the cells healing, and repeating the cycle over and over each month. This repeated multiplying, swelling, bleeding, and healing can often lead to scar tissue, adhesions, or fusion of the various tissues of reproductive organs and surrounding structures – fallopian tubes, ovaries, and supportive structures of the uterus inside the pelvis. The scar tissues, adhesions, and tissue fusion can often result in distortion of the actual anatomy of the reproductive organs, affecting ovulation, menstrual cycles, and fertility.