The truth about endometriosis, fertility

The truth about endometriosis, fertility

There is a long list of factors that can affect a woman’s ability to have a child. This often includes everything from age to risky health habits such as smoking. A cause of infertility that is increasingly more common, however, is a condition known as endometriosis. Luckily, it doesn’t necessarily mean a woman is sentenced to never having a child.

Endometriosis is when the cells or tissue that should be lining the uterus or womb grow outside of this cavity and cause symptoms including severe pain when menstruation occurs.

Some women never suffer any symptoms, however, Dr. Susan Schy, an obstetrics/gynecology physician with Advocate Lutheran General Hospital in Park Ridge, Ill., says the first symptom is extreme pain either with your menstrual cycle or chronically. cites other symptoms that may indicate endometriosis, which include:

  • Chronic lower back and pelvic pain
  • Pain during or after sex
  • Intestinal pain
  • Spotting or bleeding between periods
  • Fatigue
  • Constipation, diarrhea, nausea or bloating, especially during your period

The condition interferes with fertility because it can cause problems with ovulation, says Dr. Schy, as the scarring and cysts can affect how the Fallopian tubes and ovaries function.

There is hope, however. “Fertility doctors will help with in vitro fertilization (IVF), bypassing your own Fallopian tubes and any pelvic scarring,” says Dr. Schy. With IVF, a woman stimulates her ovaries to release several eggs by taking hormones. These eggs are then fertilized in a lab and then implanted in the uterus.

To determine if you do in fact have the condition, a doctor will usually perform a pelvic exam to check for larger cysts or scarring behind the uterus and an ultrasound to view any ovarian cysts that may have formed.

Dr. Schy says that many times there are microscopic lesions of endometriosis that cannot be seen so sometimes women will be started on medication to suppress ovarian function such as birth control pills, which can help alleviate pain and discomfort.

To determine if the condition is in fact endometriosis, particularly when pain is chronic, laparoscopy may be performed, where the pelvic organs are examined by an instrument inserted through the abdominal wall called a laparoscope.

“A diagnosis is made at the time of laparoscopy, at which time it can be treated by removing the lesions or correcting problems with the Fallopian tubes and the ovaries,” says Dr. Schy.

If the endometriosis is more pervasive, it may require abdominal surgery or laparotomy where growths are removed from the pelvis or abdomen. In severe cases, a hysterectomy or removal of the uterus is done. Dr. Schy adds that hysterectomy may be an option if a woman has already had children, however, it is not recommended for young women.

Dr. Schy wants women to be aware that endometriosis is not the prime cause of infertility. “It’s possible that it could be something else so make sure to work with your physician to understand the full picture of your reproductive health to rule it out,” she says.

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One Comment

  1. cordelia_79720 May 15, 2014 at 9:54 pm · Reply

    Being so professionally diagnosed, and avid reader on medical research, let me first say that
    ‘let there be no doubt as to the excruciating pain; I had friends whose labor/delivery wasn’t as painful and that in their own words…as I suffered every month with the regularity of a clock…even to the time of day….and the pain would start just after ovulation from the hormonal shift, so that in 1+ wks, I was in such distress I wanted to ‘deliver’ …and the actual process would last approximately 36-48 hrs…
    The endometrial tissue indeed is profusely everywhere but fortunately, not damaging, just painful…so that yes, birth control pills are a blessing because by their shifted hormonal effect, they minimize the amount of blood which engorges the uterus and the stray endometrial tissue…so the discomfort is liveable…the endometrial tissue however did extend from inside the uterus into the fallopian tubes and microsurgery to scrape the tubes did impact the egg travelling through the tubes…and so, IVF et al. was necessary…however, my now former spouse was a military pilot flying internationally, gone erratically and for considerable periods of time and thereby made conception impossible …and then…other people became involved and made the entire matter of children unwise when there was clear instability in the making …and my second husband turned out to be quite the sociopath with psychopathic tendencies, an executive with hidden alcohol problem …and so there it is…IVF would never be medically supported without marriage…single mothers are not “made” … and it was a great hurt for me not to have a child …and I never met anyone ‘looking for a woman to mother his child’ …and then, life is so busy these days, one doesn’t really have the opportunity to chase down a love-match who needed a mothering partner …

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health enews Staff
health enews Staff

health enews staff is a group of experienced writers from our Advocate Health Care and Aurora Health Care sites, which also includes freelance or intern writers.