Endometriosis and fertility: answers to the 10 most common questions

Endometriosis and fertility: answers to the 10 most common questions

15/03/2017

Endometriosis and fertility: answers to the 10 most common questions

Endometriosis is a little known condition. However, it affects more than 200 million women worldwide and, besides affecting their quality of life, it can also compromise their fertility. Therefore, it's important to have it diagnosed as early as possible. If you suffer from constant pelvic pain or your periods are very painful, ask your gynaecologist for a check-up. And if you receive a positive diagnosis, don't panic, because the condition can be treated. Here are the answers to some of the most common questions:

  1. What are my chances of conceiving?
    The best option is to go to a clinic with a team specialised in the condition, given that each case needs to be assessed individually.
  2. Why does it affect fertility?
    Because it can cause adhesions that impair the function of the fallopian tubes, development of the eggs or implantation of the embryos.
  3. How can it be treated?
    Basically, the options are: hormone therapy, surgery or assisted reproduction techniques.
  4. When is surgery necessary?
    Only when the pain cannot be controlled with medication or in patients with very large cysts or very dilated fallopian tubes.
  5. Does the risk increase with age?
    Yes, because the disease can progress and fertility can decline. This is why we recommend you not delay pregnancy or cryopreserve your eggs.
  6. How can assisted reproduction techniques help?
    There are many options and the choice will depend on the extent of the disease, the result of previous treatments and the woman's age.
  7. In what cases are they specifically indicated?
    In patients over the age of 38 or who have had surgery and we suspect that the chances of natural conception are low.
  8. What is the success rate for IVF with endometriosis?
    It can vary considerably. It depends on the extent of the disease, the patient's age, the type of assisted reproduction technique proposed, and a full evaluation must be done on the couple.
  9. Would it be more difficult to implant an embryo?
    Yes. In addition, there may be other uterine conditions that further exacerbate the problem, such as fibroids, adenomyosis, etc.
  10. Is it true that the symptoms can improve after pregnancy?
    Yes, and the condition can be controlled with simpler treatments.

 

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