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endometriosis-infertility

Endometriosis And Infertility

Endometriosis And Infertility Treatment at SWCIC in Hyderabad

Endometrium is the tissue surrounding the inner lining of the uterus (womb). Women with endometriosis often experience pain during menstruation and cramps.

Endometriosis And Infertility
Endometriosis has become more common case of infertility in women. SWCIC- one among the renowned fertility centers in Hyderabad India takes care of that with the support of experienced professionals.
Endometrium
  • The endometrium is the tissue that lines the inside of the uterus (womb). Endometriosis is a condition where endometrial tissue is found outside the uterus in the abdomen. Every month along these areas of endometrial tissue bleed in the abdomen giving rise to inflammation and pain.
  • If left untreated theses endometrial patches could give rise to infertility (due to blocked fallopian tubes) and adhesions. In the ovary they cause cysts (blood filled bubbles) called “chocolate cysts
Who gets endometriosis?
  • About 1 in 10 women have symptoms due to endometriosis which range from mild to severe depending on the extent of disease. Symptoms develop between the ages of 25-40 and symptoms reduce with pregnancy. Sometimes it runs in families Estrogen levels fall after the menopause thus reducing the incidence of endometriosis Once the endometriosis has gone with fertility treatments it may recur again in the future
Symptoms of endometriosis
  • Painful periods. The pain typically begins a few days before the period and usually lasts the whole of the period and subsides after the period.
  • Painful intercourse.
  • Bleeding in between periods.
  • Difficulty becoming pregnant (reduced fertility). This may be due to clumps of endometriosis blocking the passage of the egg from an ovary to the fallopian tube.
Diagnosis
  • Endometriosis is diagnosed either by an Ultrasound scan (if chocolate cysts are seen) and diagnosis is confirmed by a Diagnostic Laparoscopy where the patches of endometriosis are not only seen but can be treated at the same time.
Treatment
  • If endometriosis is left untreated, it becomes worse in about 4 in 10 cases. Endometriosis is not a cancerous condition. The main aims of treatment are to improve pain and help the couple to conceive.
1. Painkillers for endometriosis
  • Paracetamol taken during periods may be all that you need if symptoms are mild.
  • Anti-inflammatory painkillers such as ibuprofen and diclofenac (not all women can take these tablets, please consult a doctor before use)
2. Hormone treatments for endometriosis
  • The combined oral contraceptive pill (‘the pill’)
  • The intrauterine system (IUS) –special coil: It is not only used as a contraceptive but also greatly reduces or even abolishes bleeding of periods. Once put in place, it can remain effective (for contraception and to ease pain) for up to five years.
  • GnRH (gonadotropin releasing hormone) analogues- these are given as a course of 3 or 6 injections and are quite effective. Use of these injections however, is limited in young patients where fertility is an issue.
3. Surgery for endometriosis
  • Laparoscopy is commonly used to treat endometrial patches in the abdomen and also to remove cysts.
  • If your family is complete, and symptoms are severe, then hysterectomy (removal of the uterus) may be a good option, if all other methods have failed
What are the different sites of endometriosis?
Endometriosis can be found in:
  • The bowel and bladder
  • On the ovaries
  • On the fallopian tubes
  • In the peritoneum
  • Almost anywhere behind, on or around the uterus
  • Muscle wall of the uterus
Causes of Endometriosis
  • Back Flow of Menstrual Blood at menstrual cycle
  • When the menstrual blood contains endometrial cells flows into the pelvic cavity through fallopian tubes
  • Surgical Scar Implantation
  • If endometrial cells can create scar implants after surgery
  • Immune System Disorder
  • Immune system disorder can destroy endometrial tissue that grows in the uterus
Risk Factors for Developing Endometriosis
  • Any condition that blocks the menstrual flow out of the body
  • Infertility
  • One or more female relatives with this condition
  • Uterine abnormality
  • Past history of pelvic infection
Endometriosis and Pregnancy
About 30% of the female with endometriosis are facing fertility problems. The reasons are:
  • Low-quality egg problem
  • Scarring of the tubes and ovaries from endometriosis
  • Change of the organs in the pelvic area such as blockage of the fallopian tubes, scarred pelvic tissue, pelvic pain
  • Problem with the embryo which is traveling down the tube and implantation occurs in the wall of the uterus due to endometriosis damage.
  • Not all women with endometriosis are infertile. Many women have kids without any difficulty, have kids before they are diagnosed, or eventually have success in pregnancy.
  • Laparoscopy surgery is one of the best treatment options to reduce the symptoms and improve fertility by removing endometriotic implants, patches, nodules, cysts, and adhesions by burning them or cutting them out.
  • If this treatment is failed, In Vitro Fertilization treatment will be considered. Before taking this treatment, make sure that your endometriosis is properly treated. IVF treatment increases estrogen levels which increase the existing endometriosis development.
Endometriosis, Pregnancy, and Delivery
A recent study shows that if you have endometriosis, you should take medical care and didn’t stop once you get pregnant. Endometriosis is a risk factor for:
  • The baby will born early
  • Getting bleeding after the 24th week of pregnancy
  • Getting delivered by cesarean
  • High blood pressure
  • Endometriosis and Risk of Premature Birth
  • If you have endometriomas (ovarian cysts) and become pregnant by using assisted reproductive technologies, there is a risk of the body.
  • The woman who has endometriosis had a higher risk of pregnancy. Women who have diagnosed with endometriosis will increases the risk of preterm birth.
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