- What chances would I give a pregnant woman in the following conditions: 32 years; a curettage 10 years ago; diagnosed with acute bilateral metanexitis and uterine retroversion; without births. My concern is related to the pain in the ovary area, pain that did not necessarily relate to the period of menstruation. Thanks.


Metroanexitis represents inflammation of the appendages (ovaries, uterine tubes) and uterus. This condition is most likely the cause of your pain. In terms of infertility, there is an algorithm that needs to be followed in order to find answers to your questions. First of all, the diagnosis of infertility is made in case a couple fails to obtain a pregnancy after a period of at least two years of tests carried out through normal, regular, correctly coordinated heterosexual contacts regarding the ovulation period (it is the most fertile, usually located in the middle of the period between two menses).
Once this diagnosis is established, we try to establish a starting point regarding the structural and functional status of the organs involved in the reproduction process.

This can be done as follows:

  • It usually starts from a complete clinical examination and a complete history that includes your family history and health status. Also during this first consultation will be able to carry out tests such as: cyto-bacteriological examination of vaginal secretion, Pap test, urine summary, etc.
  • In order to analyze the structural integrity of the components involved in the reproduction process, the following tests will be carried out: ultrasound, has the role of visualizing the internal organs and of signaling any structural anomaly evident ultrasound; hysterosalpingography offers radiographic images regarding the uterine cavity and the degree of permeability of the uterine tubes, an occasion where minor or partial decomposition of the fallopian tube may be performed; hysteroscopy and laparoscopy, the latter being able to have an interventional role and not only a diagnosis. The analysis of the functionality of the reproductive system will be done as a result of tests such as: dosing of gonadal (sexual) hormones, inflammatory tests, etc.
  • Your husband will have to come to the office with you and in addition to the clinical examination, family history and health, the ultrasound examination. He will have to perform a spermogram (sperm analysis to determine its fertility). Once established a cause of the couple's infertility will be decided on the therapeutic conduct.
    I hope that the indications we have provided to help you better understand the complexity of this problem, but in order to establish a proper behavior, direct meetings between you, your husband and a couple infertility specialist are needed.
    Good health!
    Dr. Ciprian Pop-Began
    - Obstetrics and Gynecology -
    Clinical Hospital of Obstetrics-Gynecology Prof. Dr. Panait Sarbu