Does Endometriosis affect Fertility?

What is Endometriosis?

Endometriosis is a condition when the tissue that fabricates the lining of the uterus, known as the endometrial tissue, grows in the other parts of the body (usually in the pelvic area) instead of the uterus. The endometrial tissue is normally released in the form of blood when the menstrual cycle occurs, but when it grows in other organs, it is converted into cysts, scar tissue, and adhesions, and often cause inflammation because it has no way to exit. This disorder generally affects the ovaries, fallopian tubes and the pelvic cavity.

Endometriosis can be painful and can potentially be the cause of infertility in women. While only 30% of women having endometriosis find it difficult to conceive, but pregnancy is possible if you have endometriosis with the aid of medical treatments. If you are a woman with endometriosis, you may wish to acquire the relevant information regarding your chances of conceiving with this severe condition. If that is the case, then you have landed at the right place because this article dives deep into the symptoms of endometriosis, its complications, and the probability of you conceiving with endometriosis.

With endometriosis, the tissue can be found on the ovaries, fallopian tubes or the intestines.

What are the symptoms of Endometriosis?

It is not necessary that there will always be some perceptible symptoms indicating the possibility of endometriosis but symptoms given below cannot be ignored and are often experienced by women having endometriosis.

  • Women who experience mild to severe pain during menstrual cycle
  • Women who have pain during sexual intercourse
  • If you have other abnormalities or experience pain on opening your bowels or urination
  • If you experience pelvic pain in a specific area and the reason could be deposit of endometrial tissue in that area
  • Women who have chocolate cysts. Also known as ovarian cysts, are cysts filled with old blood formed in an ovary

Most of the women experience the period pain only when their menstruation cycles begin and the pain stays until her periods are over. However, the severity of the pain has no direct links with the quantity of endometriosis found.

At Dynamic Fertility & IVF Centre, for the purpose of accurately diagnosing your condition, the doctor will perform various tests, ultrasounds and MRI scans, and will carefully analyze your previous medical reports. A keyhole surgery will be done by making a small incision into your abdomen, from which a laparoscope will be inserted with a camera attached to it for displaying the inside of the abdomen or pelvis.


How Endometriosis impact fertility?

Endometriosis may cause difficulty when you try to conceive but is not impossible to conceive while you have endometriosis. In fact, many women have been reported to conceive even after with endometriosis, especially the young age women. You may not need any kind of infertility treatment if you have mild to moderate endometriosis.

However, there are a number of ways by which endometriosis can affect fertility in women. Conceiving is a long process involving a number of crucial steps such as the sperm penetrating the egg, the fertilization egg travelling down the fallopian tube in order to get successfully implanted in the uterus, etc. Endometriosis has the potential of impeding the process of pregnancy as the chocolate cysts formed due to endometriosis can permeate the ovary and damage the eggs.

Cysts formed due to endometriosis can also cling to the fallopian tube and thus, create an obstacle in the path of the fertilized egg to successfully travel to the uterus. Apart from cysts, endometriosis can also be the cause of the development of scar tissue, which can make various organs or reproductive organs to bind together, and thus, hampering their effective functioning. Scar tissue can also cause damage to the entire anatomy of the pelvis.

Endometriosis can also cause inflammation, leading to the overall inefficient functioning of the reproductive chain, which can result in infertility. Inflammation of the fimbria may make it difficult for the egg to reach its desired place; fimbria is located at the end of fallopian tube and is responsible for the transportation of the egg in the fallopian tube. Inflammation can also impair the eggs and the sperms due to hostile inside surroundings caused by endometriosis. Furthermore, endometriosis can damage or rupture the fallopian tubes.

How to get pregnant when you have Endometriosis?

While endometriosis can make pregnancy hard but in no way it can stop you from achieving it. If you have mild endometriosis, then trying to conceive without further delay is a viable option for you because the condition of endometriosis continues to worsen with time. In order to receive reliable suggestions, consult an expert doctor to get information regarding your chances of conceiving with endometriosis as every patient has different type of endometriosis condition.

Hormone Therapy

If your endometriosis condition has not become serious yet, then hormone therapy could be beneficial to you. A hormonal imbalance during periods is a normal thing but they can dramatically affect your endometriosis lesions by causing them to become dense and shed more blood, which in turn causes more pain during the menstrual cycle. During hormonal therapy, hormonal drugs containing estrogen are given to the patient, which helps preventing the formation of ovarian cysts, hinder the growth of endometriosis lesion, and reduce the possibility of scar tissue development, and thus, improving the chances of conception.

Laparoscopic Surgery

Laparoscopy is essential when the conception cannot take place due to the severe endometriosis. Laparoscopic surgery is a minimally invasive surgical procedure done for the removal of endometriosis lesions, chocolate cysts, and scar tissues in order to reduce the potential damage to the reproductive system and allowing for a healthy pregnancy to occur. During the surgical procedure, a thin instrument called laparoscopy is inserted into the abdominal area by making a small incision below the navel. The laparoscopy has a light and camera attached to it in order to clearly view the inside of your abdomen and pelvic area. This camera clicks images that are projected onto the monitor for inspection by the doctor.

Along with the instrument, the doctor also inserts surgical instruments by making another incision when he observes endometriosis lesions or ovarian cysts on the monitor so that he could remove them. Besides, reducing the pain caused by endometriosis lesions, cysts, and scar tissue, endometriosis also helps in making conceiving easy.

Intrauterine Insemination (IUI)

Intrauterine insemination (IUI) is often done before finally deciding to go for IVF. IUI is a simple method of assisted reproductive technology in which a woman gets artificially inseminated by the man’s sperm with the aid of a doctor who directly injects it into her uterus using a hollow needle. In order to conceive through IUI, it is imperative that you have a functional uterus and an overall great reproductive health. Since women with severe endometriosis may experience failure with IUI as it requires the egg to successfully travel through the fallopian tube and implant into the uterus, which is hard when you have endometriosis. In such cases, IVF or In Vitro Fertilization is the better option.

In Vitro Fertilization or IVF

The most popular method for achieving conception without natural means. IVF is a famous and commonly used assisted reproductive technology where fertilization is achieved in a laboratory. Before implanting the embryo in the uterus, the eggs and the sperms are combined and kept in a culture dish for attaining fertilization, and thus, entirely avoiding the requirement of ovaries or fallopian tubes.

While your doctor will suggest to you the earlier treatments before recommending IVF, but for patients who are trying to get pregnant for a long time or have severe endometriosis, IVF is the best option.

Dynamic Fertility & IVF Centre has the team of highly experienced fertility specialists who perform all kind of fertility treatments with veracity and precision. Our doctors cautiously diagnose the patient’s condition and suggest appropriate treatments to them. We offer all types of fertility treatments at an affordable price. You will certainly achieve success in your fertility treatment if you choose us for the same.

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