If you have ever had appendicitis, then the inflammation of the appendix may spread to the abdominal cavity, the adjacent ovaries are also affected by the “disaster”, when the appendicitis is cured, but the fallopian tube because of the inflammation of adhesions. “Some diseases are not related to gynecology, but they can still affect fertility. For example, if you have pelvic tuberculosis, even if you are cured, your chances of getting pregnant naturally after marriage are much smaller. In fact, the female genitalia is not a separate, isolated organ; it is also adjacent to many other organs in the pelvis, such as the digestive and urinary organs, in addition to the greater omentum and peritoneum. Inflammation of any organ in the pelvis may cause peritoneal congestion and edema, resulting in peritonitis, causing adhesions in the pelvis and thus involving the fallopian tubes in the pelvis. If there is an abscess in the pelvic cavity, it may compress the fallopian tubes and cause changes in their morphology. In addition, if adhesions are created in the pelvic cavity, they can restrict the movement of the fallopian tubes and prevent them from performing their normal physiological functions. The appendix, as we all know it, is anatomically located close to the right fallopian tube. If the inflammation of the appendix is severe, it can form a perforated appendiceal abscess, which can spread directly to the adjacent fallopian tube, or through the development of peritonitis, involving both fallopian tubes, affecting their function and thus leading to infertility. In patients with tuberculosis, the tubercle bacilli can spread throughout the body, including the reproductive organs, via the blood circulation. It can cause abdominal tuberculosis in the abdominal cavity, causing changes such as stiffness of the fallopian tubes; if it invades the endometrium, it can cause different degrees of destruction of the endometrium, and the scar tissue that eventually appears can cause adhesion, deformation and shrinkage of the uterine cavity, making it impossible for fertilized eggs to bed down, leading to infertility. Therefore, intra-abdominal and systemic infections must be treated thoroughly to avoid spilling over to the reproductive system and causing infertility.