In the context of pelvic infections affecting the vagina, which management strategy is most appropriate when both infection and fistula are present?
Antibiotic therapy followed by surgical repair
A pelvic infection with a vaginal fistula poses two problems: active infection and a mechanical defect in the tissue.
Standard management is to first control infection with appropriate antibiotics; this reduces inflammation and secretions and improves tissue quality.
Only after the infection is controlled is surgical repair of the fistula performed, giving the best chance of healing.
Analgesics without antibiotics, observation alone or operating before infection control all raise the risk of repair failure.
Hence, Antibiotic therapy followed by surgical repair.
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During infertility assessment, a female is diagnosed with Asherman's syndrome. What is the primary mechanism by which this condition causes infertility?
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