Is Conception Possible?
Endometriosis is a disease where small pieces of the uterine lining (endometrium) attach themselves to organs inside the female pelvic cavity. These fragments can imitate the menstrual cycle by bleeding, and as this blood cannot leave the body, painful cysts may form.
The degree of pain this condition causes, is not necessarily an indication of the severity or the extent of invasiveness which may be prevalent throughout the pelvis. Excruciating pain with only mild spreading of the disease, or less pain with extensive spreading, may be also be experienced.
Some are fortunate to not have any symptoms. In most cases, however this is a very painful condition and symptoms include:
- Painful menstrual cramps (dysmenorrhoea)
- Diarrhoea and bowl upsets
- Nausea or vomiting
- Shorter menstrual cycles (less than 28 days)
- Heavy and long flow
- Ovarian cysts
- Painful sex
- Pain during midmonth ovulation
- Painful urination
The condition very often causes difficulty in conceiving. It is most often due to adhesions and scarring around the ovaries and fallopian tubes, causing interference with normal
ovulation. It can be attributed to almost 30% of female conception issues.
It is so unfortunate that many women
suffering with endometriosis, will also experience infertility, so it is a good idea to see your doctor as soon as possible.
The actual cause is not really known as it may vary from woman to woman. Research indicates if you are related to someone with this painful disease, then you have a higher chance of also suffering from this condition. Recent theories indicate that the body forms antibodies to the endometrium - auto antibodies.
Ovulation is a major trigger. Another theory is that it is an immune system malfunction. It is almost certainly due to a hormonal problem.
Pregnancy and breast feeding will cause a temporary relieve to the condition and symptoms experienced, due to the hormonal changes that prevent ovulation. Knowing that women suffering with this painful condition, do have children, will be an inspiration for any woman who may have given up hopes of falling pregnant. .
Menopause brings about permanent relief because it's the end of menstruation and ovulation. However your concern is fertility health, so ovulation is an important consideration in this stage of your life.
Once this condition is prevalent in a female, its stages only seem to worsen. Treatment is possible, but will be ongoing and continuous.
Diagnosis and treatments
Painful periods does not always indicate the condition exits. Since it may be confused with many other conditions, the only way an accurate diagnosis can be made is by means of either a laparoscopy, or a MRI - magnetic resonance imagining machine. Most suffers will already be under a physicians care, so this investigation may have been carried out before embarking on the baby making journey.
An MRI image is about 95% accurate and one of the popular methods used to ascertain this condition exists. A lack of conception with suspected or confirmed endometriosis, will almost certainly require this investigation to be carried out.
There are many treatment options, depending on the severity of the condition. Most, treatments work against fertility, as ovulation needs to be suppressed. Therefore in the event that you are accurately diagnosed with this disease, your physician will take this into account when discussing your conception plans.
Treatment could include drug therapy as well as laparoscopic surgery be undertaken. This is one of the best known methods to remove pelvic scar tissue, which could be the cause of your lack of conception.
In most cases, medical intervention is necessary. Surgery may be required to remove adhesions, implants or blood filled cysts. Laparoscopy can often be used to drain any fluid build up. Small patches can be removed from
the organs or fallopian tube
through laser or electrical current..
Infertility medications provides information on anovulatory drugs being prescribed as a treatment method to suppress ovulation for six months, following any
surgery to remove the endometrium. Thereafter, trying for conception can once again be resumed.
For woman with severe endometriosis, the only option of pregnancy may with the application of
Assisted Reproductive Technology, using techniques such as In Vitro Fertilization.
The disease can be linked to repeated miscarriage, and therefore your physician or primary health care adviser for infertility, will take this condition into account in your treatment program.
There is no cure. A healthy life style, as well as an exercise program, as recommended on the infertility diet page, will alleviate symptoms, and assist in your treatment plan with endometriosis and infertility.
Achieving pregnancy is possible using medications and high tech treatments, but may call for an abundance of patience and perseverance to
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