Endometriosis – it is the diagnosis most often associated with infertility. It would seem, how can endometrial ectopia cause fertility disorders? However, it is this pathology that forces many women to resort to in vitro fertilization.
Today, there are quite a few ways to deal with this disease, but not all of them are really effective. Read on estet-portal.com if pregnancy is possible with endometriosis, as well as what methods of treatment are best used for successful conception.
Pregnancy with endometriosis: the main causes of infertility
Many women with endometriosis worry about whether they will be able to conceive and bear a child.
For this disease:
• endometrial ectopia occurs;
• an inflammatory process develops, resulting in adhesions that disrupt the patency of the fallopian tubes;
• As a result of hormonal imbalance, ovulation is disturbed;
• due to cicatricial changes in the endometrium, implantation of the embryo is difficult.
However, endometriosis not only prevents pregnancy, but also increases the risk of its termination in the early stages. This is due to the fact that this pathology is accompanied by increased activity of the myometrium, due to increased secretion of prostaglandins in the foci of endometriosis.
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The choice of tactics for the treatment of infertility in endometriosis
It is not easy to make a choice among fertility drugs, surgery, IVF and other assisted reproductive technologies. Infertility treatment can be costly, and methods that work for some women may not work for others.
If the endometriosis foci are not very large, then sometimes the best solution is to wait and see.
To assess the state of the reproductive system in a woman with endometriosis, it is recommended to conduct the most comprehensive examination, which will include the study of hormonal levels, the state of the uterine mucosa and patency of the fallopian tubes, if an adhesive process is suspected.
Even if pregnancy has not occurred within a year, this is not a reason to give up, since the probability of spontaneous conception with endometriosis ranges from 30 to 70%.
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Surgery, hormones and other ways to solve the problem of infertility in endometriosis
For a long time, surgical treatment of endometriosis, the essence of which is the removal of ectopic foci and adhesions, was considered the most effective. However, in recent years, this statement has been questioned, because after the removal of some foci, the emergence of others does not take long.
The difficulty of surgical treatment of endometriosis is that adhesions are not the only problem of this disease. Endometriosis is a whole cascade of pathological reactions, including hormonal imbalances and inflammatory and structural changes.
With regard to hormonal therapy for endometriosis, very often patients fall into a vicious circle. To treat this disease, oral contraceptives are used, which make conception impossible, and if they are canceled, the disease progresses and continues to cause infertility.
Many experts believe that IVF is a good solution for infertility in women with severe endometriosis and adhesions.
For women with a mild form of endometriosis, there is no unambiguous tactic for solving the problem. Treatment is selected individually depending on the state of the patient's hormonal background, and the extent of the pathological process.
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