Crohn's disease and tubal infertility: the effect of adhesion formation

The purpose of this paper was to assess the management of tubal disease in women with Crohn's disease. We are presenting a case series describing four patients with Crohn's disease who were treated at a tertiary infertility clinic within an university hospital. Fertility investigations and appropriate therapy plans in these patients with Crohn's disease who also had tubal infertility are outlined. The clinical outcome in all four cases demonstrated interference with the management and surgical therapy of the tubal infertility by extensive adhesion formation. We conclude that adhesion formation complicates the investigation and surgical therapy of patients with Crohn's disease.