Commentary

This report presents a case of fallopian tube destruction secondary to uterine perforation, which was managed via laparoscopic surgery and ultimately resolved natural fertility and spontaneous conception on the first try.

Women carry silent trauma in the current reproductive healthcare model, a journey often marked by years of feeling dismissed, their pain downplayed, their deepest concerns unmet.

“I always had irregular periods—four times a year, like clockwork. At 18, they became less predictable. By 20, they were less frequent, heavy, and painful. At 25, despite an active lifestyle and healthy diet, they disappeared entirely—along with any clear signs of cycling. That’s when I began the long road to a PCOS diagnosis.”