Adhesions One of the many complications that can arise from endometriosis is the formation of adhesions. These bands of scar tissue can bind organs to other structures, block the tubes causing infertility, and cause immense pain even after the endo itself has been removed surgically.
Adhesions present a special problem concerning treatment as well.
The hormonal methods of treating endo have no effect on the adhesions, so the only method of treating them is with surgery. Often, a woman will have to have additional surgeries to remove adhesions formed from her previous surgeries to remove endo. This can start a sort of viscious circle, with adhesions forming during surgery and then needing subsequent surgery, which in turn can cause more adhesions, to remove them. The most common sites for adhesions are the pelvic organs. Often the ovaries and tubes are involved.