How does pelvic endometriosis affect pregnancy?
Endometriosis is often the main cause of infertility which affects 10% of women. Endometriosis is a painful condition, where the endometrial lining grows outside the uterus into other areas of the abdominal cavity. Endometrial tissues normally line the inner wall of the uterus but in this condition may grow outside of the uterine wall, such as ovaries, fallopian tubes, pelvis, and in worse cases in the intestine, rectum, bladder, vagina, etc.
The main symptom of endometriosis is pelvic pain, often associated with menstrual periods.
Other symptoms include: Pain with intercourse, pain with bowel movements or urination, excessive bleeding and you may experience fatigue, diarrhea, constipation, bloating, or nausea, especially during menstrual periods. This disorder commonly occurs in women of reproductive age.
The endometrial tissue present elsewhere, outside the uterus, also grows and bleeds every month, like normal menstruation. This results in collection of menstrual blood in the ovary, pelvis, bladder, etc. This collection causes pain. The blood collected causes irritation of surrounding tissue, eventually developing scar tissue and adhesions which causes organs to bind with each other.
Endometriosis can result in infertility when there are lesions in the fallopian tubes that cause blockages, preventing sperm from reaching the egg. In some cases, the reproductive organs become fused together because of the scarred tissues, which prevents the release of eggs and the normal cycle is disrupted.
Endometriotic lesions also cause cysts in the ovaries that halt proper ovulation or egg production. Endometriosis can influence fertility in several ways: it can distort the anatomy of the pelvis due to the adhesions, which bind to organs, scarred fallopian tubes, inflammation of the pelvic structures, altered immune system functioning, disrupts the hormonal levels which in turn affects ovulation, impaired implantation of a pregnancy, egg quality is altered,etc.
Women with mild endometriosis, as visualized by laparoscopy, may conceive naturally. Laparoscopic ablation of endometriotic spots, restoration of pelvic anatomy may help women conceive spontaneously or with intrauterine inseminations (IUI). Women with moderate to severe endometriosis, especially ovarian endometrioma of > 3cm, may require surgical excision before proceeding to assisted reproductive technologies.
At GarbhaGudi, We have helped thousands of couples in conceiving and have onboard a team of the best infertility specialists like gynaecologists, surgeons, embryologists, technicians, and staff who will develop a personalized fertility treatment plan for each couple.
We offer various infertility treatments and we offer hope to patients around the world. Call us on- 888 00 00 909 Visit us at – www.garbhagudi.com