How can a woman with endometriosis get pregnant
Endometriosis is a common condition in which small pieces of tissue that are similar in make-up to the inner lining of the womb endometrium grow outside of the womb; for example on the bowel or bladder, ovaries and fallopian tubes and on the lining of the abdomen. It is thought to affect around two million women in the UK but it is difficult to be sure because some women have no symptoms. Women of child bearing age are affected most commonly. It is not a cancer. You are more likely to have it if your mother or sister had it.
SEE VIDEO BY TOPIC: Trying to conceive with endometriosis- Improve your fertility- Dr. Morris tipsContent:
- Fertility & pregnancy
- How to Get Pregnant If You Have Endometriosis
- Endometriosis and Pregnancy: 7 Essential Facts
- Endometriosis and Getting Pregnant: What You Need to Know
- Can I Get Pregnant If I Have Endometriosis?
- Recently Visited Pages
- Endometriosis and Fertility
- How does endometriosis affect fertility?
Fertility & pregnancy
It is important to remember that most women with endometriosis will become pregnant without any medical assistance. About one-third of women with endometriosis have trouble with fertility and struggle to get pregnant.
This is likely to affect women in different ways and can create a rollercoaster of emotions. Once pregnant, many women also worry about the effect of their endometriosis on their pregnancy and delivery. It is thought that the reasons are related to:. Not all women with endometriosis will be able to have a baby, just as there are women who do not have endometriosis or other health issues who are unable to have a baby.
Laparoscopic surgery keyhole surgery using a thin telescope with a light inserted through a small cut in the belly button to look into the pelvis is an operation that may be offered. It aims to potentially reduce pain symptoms and improve fertility by removing endometriotic patches, implants, cysts, nodules and adhesions by cutting them out excision or vapourising them destroying using electrical energy. If treatment is unsuccessful, or for women with more severe endometriosis, assisted reproduction such as in vitro fertilisation IVF treatments may also be considered.
However, before trying this form of treatment, it is important that your endometriosis is properly assessed and treated by an experienced gynaecologist.
Tools such as the Endometriosis Fertility Index EFI improve the prediction of pregnancy by natural means or with the assistance of IVF, and your doctor will be able to advise which is the best pathway for you. In order to attempt pregnancy, a woman needs to stop hormonal suppression of her endometriosis. If IVF is needed, there is some concern that the hormonal stimulation used for IVF cycles may increase the risk of endometriosis recurrence.
However, there is no data showing a significant increase in recurrence rates between no hormonal suppression or IVF hormone use. Not all recurrences are symptomatic. If there are problematic symptoms after trying for pregnancy, they can be treated then.
Please visit our webpages on fertility if you would like more information. The effect of having endometriosis and troubles with fertility may cause different feelings, such as:. It is often during investigations to see why you are not getting pregnant that the diagnosis of endometriosis is made. So, any distress over trying to get pregnant may be increased by the stress and shock of the diagnosis of endometriosis. Some women with endometriosis feel pressured to have children as soon as possible to increase their chances of becoming pregnant.
You may feel overwhelmed because you don't feel ready to have children, or you want to have a child but you:. Other women may be ready to have children but can't get pregnant. As a result, they might have feelings of frustration, hopelessness and may be more prone to depression. Talking to a doctor, counsellor or psychologist can help you to cope with these feelings and help you to decide what to do next.
Starting on fertility treatment can lead to a range of different feelings, from happiness and excitement to frustration, disappointment and sadness. If you decide to try fertility treatment, it is important both you and your partner are supported through the process. Most IVF units will have counsellors who will support and counsel you through the assessment and treatment time.
Getting counselling before starting treatment can help you to:. Once pregnant, many women worry about the effect of their endometriosis on their pregnancy and delivery. It is recommended that medical care should not stop once you become pregnant. Pregnancy does not cure endometriosis, but symptoms of endometriosis can be reduced or absent because women do not have periods during pregnancy.
This improvement in symptoms may be because of hormone changes in pregnancy. However, some women continue to experience pain symptoms through their pregnancy. Research looking at the effect of endometriosis on pregnancy provides results that are inconsistent, and more research is needed in this area. Some studies suggest that complications of endometriosis during pregnancy are rare and that there is no evidence that it has a major effect on pregnancy outcomes.
Women's experiences of endometriosis after the baby is born are different. For many women, their symptoms return after they stop breast-feeding and their periods have returned. For others, their symptoms improve or resolve following pregnancy, as they may do with other medical or surgical treatments.
It's important that the medical care of endometriosis continues after the birth of the baby. Discuss the management and treatment with your doctor. This web page is designed to be informative and educational. It is not intended to provide specific medical advice or replace advice from your health practitioner.
The information above is based on current medical knowledge, evidence and practice as at May Carat Left arrow Created with Sketch.
It is thought that the reasons are related to: scarring of the tubes and ovaries from endometriosis problems with the quality of the egg problems with the embryo travelling down the tube and implanting in the wall of the uterus due to damage from endometriosis changes of the organs in the pelvis such as adhesions with scarred pelvic tissue and blockage of the fallopian tubes.
Fertility treatments Laparoscopic surgery keyhole surgery using a thin telescope with a light inserted through a small cut in the belly button to look into the pelvis is an operation that may be offered. Feelings The effect of having endometriosis and troubles with fertility may cause different feelings, such as: worry confusion feelings of inadequacy anger stress sadness depression grief. You may feel overwhelmed because you don't feel ready to have children, or you want to have a child but you: do not have a partner have not been in the relationship for long are with a partner who is not ready to have children Other women may be ready to have children but can't get pregnant.
Symptoms during pregnancy Pregnancy does not cure endometriosis, but symptoms of endometriosis can be reduced or absent because women do not have periods during pregnancy. Complications and risks during pregnancy Research looking at the effect of endometriosis on pregnancy provides results that are inconsistent, and more research is needed in this area. After delivery Women's experiences of endometriosis after the baby is born are different. References 1. Last updated: 26 November Last reviewed: 15 May Leave this field blank.
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How to Get Pregnant If You Have Endometriosis
Learn how endometriosis affects fertility — and how women with the disease can take control of their diagnosis. Women with endometriosis have a lot of questions. Among the most common: Will I be able to get pregnant? Cleveland Clinic is a non-profit academic medical center.
We respect your privacy. While they do have reason to be concerned, the situation may not be as problematic as they fear. But there are several theories, including that pelvic adhesions scar tissue from endometriosis may inhibit the movement of eggs down the fallopian tubes; that the eggs themselves are of lesser quality; or that inflammation in the pelvis caused by endometriosis might stimulate the production of cells that attack the sperm and shorten their lifespan, according to Endometriosis. Fact: Problems with fertility are often related to the severity of endometriosis. Simply put, the more severe the endometriosis is, the greater the odds are that a woman will have difficulty becoming pregnant.
Endometriosis and Pregnancy: 7 Essential Facts
If you have endometriosis, you know that the condition can be stressful all on its own. Having the facts just might help ease some of your concerns. What is endometriosis? Endometriosis can affect any girl or woman of menstruating age, but it most often strikes women in their 30s and 40s. You might also be at higher risk if:. How do you know if you have endometriosis? Pain is the most common symptom of endometriosis.
Endometriosis and Getting Pregnant: What You Need to Know
There are several factors that help us to make decisions about your treatment. Whether or not you have pain and whether or not you are trying to conceive are important questions that guide your treatment options, and which type of doctor might be best for you. Getting pregnant with endometriosis is very possible for most women. While endometriosis may make it harder to conceive on your own, your chances of getting pregnant with endometriosis can be high, depending on the severity of your condition, your age, your overall health, and your treatment options. Since endometriosis can take many forms, and the success rates of treatments vary, your doctor will outline your best treatment options with an individual plan for you.
Endometriosis is associated with an increased risk of having difficulty becoming pregnant, or infertility. Studies have shown that the amount of endometriosis that is seen at the time of laparoscopy is linked to future fertility. Women with Stage I and II endometriosis may become pregnant on their own, however, medical studies do suggest that if laparoscopy is done in women who have infertility, they are more likely to have endometriosis than women who become pregnant with no difficulty.
Can I Get Pregnant If I Have Endometriosis?
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Endometriosis and Fertility
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How does endometriosis affect fertility?
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