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Endometriosis is related to the couple's infertility

Endometriosis

Endometriosis is a common condition in which tissue similar to the lining of the uterus (endometrium) grows outside the uterus. It most often affects the ovaries, fallopian tubes, pelvis, or other abdominal organs. This ectopic tissue can cause significant pain, fertility challenges, and other complications.

How Does Endometriosis Affect the Body?

During the menstrual cycle, the ectopic tissue behaves like normal endometrium, growing and bleeding. However, since it is outside the uterus, the blood and tissue cannot exit the body, leading to:

  • Inflammation and Pain: Localized bleeding results in inflammation and chronic pelvic pain.
  • Adhesions: The tissue can cause scarring and adhesions, impacting organ function.
  • Ovarian Cysts (Endometriomas): Endometriosis in the ovaries can develop into blood-filled cysts.

Symptoms of Endometriosis

The severity of symptoms does not always correlate with the extent of the disease. Common signs include:

  • Chronic Pain: Especially before and during menstruation.
  • Pain During Intercourse: Discomfort during sexual activity.
  • Infertility: Difficulty conceiving due to inflammation and adhesions.
  • Digestive Issues: Painful urination, diarrhea, or constipation during menstruation

Treatment of Endometriosis

Treatment depends on the woman’s age, symptom severity, and fertility goals.

  1. Hormonal Therapy:
    • Medications that suppress hormone production to prevent the growth of endometrial-like tissue.
    • These are not suitable for women seeking immediate pregnancy.
  2. Surgical Intervention:
    • Laparoscopy: Small incisions are made to remove or destroy endometrial lesions.
    • Effective for both diagnosis and treatment, especially in cases of severe pain or endometriomas.

Diagnosing Endometriosis

Diagnosis often requires laparoscopic surgery, which allows direct visualization of endometriosis lesions. Other indicative methods include:

  1. Medical History: Assessing pain and irregular cycles.
  2. Physical Examination: Detecting pelvic tenderness or adhesions.
  3. Ultrasound: Identifying ovarian endometriomas

Endometriosis and Fertility

While endometriosis can impact fertility, several options are available to help women conceive:

  • Medication: To stimulate ovulation and enhance fertility.
  • Laparoscopy: To restore pelvic anatomy and improve chances of conception.
  • In Vitro Fertilization (IVF): A key option for severe cases. IVF bypasses the inflammatory environment caused by endometriosis, avoiding potential toxic effects on eggs and sperm.

Our Commitment

At our clinic, we provide specialized care for the diagnosis and treatment of endometriosis, focusing on improving quality of life and achieving pregnancy where desired.