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  3. Endometriosis and Fertility - Finding Hope and Treatment

Endometriosis and Fertility - Finding Hope and Treatment

Navigate endometriosis and fertility with specialized care. Explore treatment options, fertility interventions, and holistic approaches for optimizing conception and pregnancy outcomes.

  • Gynecologyy
By Ipshita Ghoshal 14th Apr '23 29th Mar '24
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Overview

Endometriosis is a medical condition that affects the female reproductive system. It occurs when the tissue that normally lines the inside of the uterus (the endometrium) grows outside the uterus, such as on the ovaries, fallopian tubes, or other organs in the pelvic cavity. This displaced tissue can cause pain, inflammation, and in some cases, fertility problems.

Take charge of your health and your life. Contact us today!

Does endometriosis cause infertility?

Endometriosis can pose problems in becoming pregnant. As per a medical news publication, endometriosis can cause infertility in around 30% to 50% of women. Endometriosis and fertility are related. There are many ways in which endometriosis affects fertility. Those are listed below:

  • Distortion of pelvic anatomy
  • Formation of scarred tissue and adhesion
  • Inflammation of the pelvic structure
  • Impacts the immune system's functioning
  • Changes in the hormonal environment surrounding the eggs.
  • Impairment of pregnancy implantation
  • Changes the quality of the egg. 

The stage of endometriosis also affects fertility. Stage 1 is minimal and stage 4 is considered severe. During stage 4 endometriosis it gets very difficult to conceive. This is because it damages the ovaries and blocks the fallopian tubes. 

Read ahead below to learn how endometriosis affects your fertility!!

Does endometriosis damage your eggs and reduce egg counts?

In a research study, the meta analysis showed that women with endometriosis have:

  • Reduced number of oocytes (eggs)
  • Lower rates of fertilization
  • Poor quality of oocytes

The inflammation and scarring caused by endometriosis reduce the egg quality and quantity.

Can endometriosis damage ovaries?

Endometriosis has the potential to damage the ovaries. The tissues of the uterus lining grow on the ovaries. This leads to the formation of ovarian cysts. These cysts damage the ovarian tissue and affect the functioning of the ovaries. Since it impacts the ovaries, the eggs also get affected. 

The cysts are very large and filled with fluid. As they grow larger, they cause pain and discomfort. Many times, surgery is required to treat the cysts.

Is it really very difficult to get pregnant with endometriosis? Continue reading to find out!


 

Is it hard to get pregnant with endometriosis?

Endometriosis certainly makes it difficult to get pregnant. To get pregnant, the egg is released from the ovary. Then it travels through the fallopian tube to get implanted in the uterus.  Endometriosis infertility is caused by damaged ovaries and blocked fallopian tubes. 

Reduced egg count and quality are responsible for causing endometriosis and infertility.

Which treatments are effective? Read ahead and evaluate the options!

Take the first step to recovery. Get in touch with us to know more about your personalized treatment.

Does fertility treatment make endometriosis worse?

IVF is one of the best options for women with endometriosis infertility. Some hormones are needed to prepare the eggs for IVF. Those hormones can sometimes make the endometriosis symptoms worse. However, endometriosis does not spread to other organs due to IVF. The tissues of endometriosis need estrogen to grow.

This hormone increases in the female body during the IVF egg retrieval process. Increased levels of estrogen can make endometriosis bigger. 

Would you like to know about IVF for endometriosis success rates? Keep reading ahead to get your answer!

Is IVF successful with endometriosis?

Conceiving with endometriosis can be challenging for some women. IVF can be a successful treatment option for those struggling with infertility. It is one of the most sought after solutions for treating endometriosis and infertility. IVF is as effective in women with endometriosis as it is in other women.

While undergoing IVF, you would need monitoring to ensure timely doses of your medication. Once you are pregnant you will feel relieved of the endometriosis pain. Although, you have to start medications again after childbirth to keep the pain in control. 

So, what are you waiting for?

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Is endometriosis infertility treatable? To get the answer, keep reading!

Can you fix endometriosis infertility?

Endometriosis will increase if it gets more estrogen in your body. The tissues grow as they get estrogen. 

Hormonal medications and oral contraceptives, progestins and GnRH analogs are common medical therapies. However, these medications may alleviate the pain but have been ineffective in treating associated infertility. 

As per NCBI, there are many studies that indicate IVF can help treat endometriosis infertility. Prolonged GnRH treatment before IVF may improve fertility in advanced endometriosis patients. 

GnRH medication for a long period before IVF is beneficial for women with endometriosis. Oral contraceptive therapy is also a considerable treatment. It is effective in all stages of endometriosis before going for ART procedures like IVF. 

Surgery can also be used to treat endometriosis infertility. It is beneficial in mild to severe cases. In severe cases, surgery can have many benefits. They are:

  • Restoration of Pelvic anatomy
  • Remove implants and endometriosis
  • Reduce inflammation
  • Improve endometriosis and fertility
     

IVF is the most effective treatment for endometriosis infertility. The Society of ART reported that, in 2009, 1400 live births resulted from 5600 IVF cycles in endometriosis patients. 

Recent data shows that women with endometriosis have a higher rate of delivery (39.1%) as compared to those who don't have endometriosis (33.2%). This shows that IVF success with endometriosis is higher. 


 

References:

https://www.nhs.uk/conditions/endometriosis/

https://www.ncbi.nlm.nih.gov/pmc

https://www.reproductivefacts.org/

https://www.uranj.com/

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Question and Answers

Good evening, dear doctors, I am writing to you because I am anxious and worried. I am 49 years old and have had very large fibroids for years that have never given me any problems, apart from swelling and the occasional early or very late period. This summer I had a gynecological visit with ultrasound because it had been about three years since I had a check-up due to anxiety problems that prevent me from going for visits and other fears. The visit went well in the sense that it was the same as three years ago but every doctor almost always suggested that I evaluate the option of removing it to eliminate the problem. This summer my period was a bit irregular, it came a little early, then spotting, then it ended as usual. In October I only had spotting for two weeks and that was it, in November spotting and then a very heavy period that ended a few days ago, still with very light spotting. In the grip of anxiety, I went to the gynecological clinic in my city, and he did a manual examination without an ultrasound, telling me that they are fibroids and to go to another gynecologist to evaluate what to do, I went to a gynecologist the other day and he did an ultrasound and an examination, apart from the fibroids that I already knew about, he told me that the endometrium is vascularized and a little irregular and measures 8mm. He told me that I need to look into it further. A few months ago it always measured 8 mm, but he didn't tell me anything. (He didn't talk to me about hormone levels or premenopause or anything else. I want to do hormone levels to see everything in general) I took a lot of antibiotics months ago for dental problems and I don't know if it could interfere with my cycle. I'm really desperate also because I have a lot of anxiety problems and this doesn't help... I hope it's nothing to worry about.. I'll try to look into it further. Thank you so much. Jenny Italy

Female | 49

Answered on 17th Dec '24

Dr. Swapna Chekuri

Dr. Swapna Chekuri

Answered on 17th Dec '24

Dr. Mohit Saraogi

Dr. Mohit Saraogi

Haii I need to message directly to gynaecologist can you share the number

Female | 29

I sense you want to talk to a gynecologist directly. Unfortunately, I am unable to reveal personal contact information, however, it is a must to listen to all your issues. The most frequent warning signs that may require you to have a checkup include irregular periods, unusual pain, or changes in the appearance of the secretions. 

Answered on 17th Dec '24

Dr. Mohit Saraogi

Dr. Mohit Saraogi

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