The vocation of every woman is to experience the joy of motherhood by giving birth and raising a child. Alas, many face difficulties in conceiving. A special place among gynecological diseases that cause infertility is endometriosis, a disease that affects 35% of the female population of the planet. Many patients are interested in the question – can you get pregnant with endometriosis or not? We will try to answer it and find out why this disease occurs.
Endometriosis – what is it?
Endometriosis is a disease that occurs in women of childbearing age who have reached 20 years of age. It is genital (localized in the uterus and fallopian tubes) and extragenital (foci of the disease are concentrated in other organs). Also, both forms of the disease can be combined and present in a woman at the same time.
Normally, the endometrium that lines the inner surface of the uterus, during menstruation, is rejected and, together with the secretions, comes out. But the smallest particles of this disease migrate, penetrating into the muscle layer of the uterus or “travel” through the lymphatic system, settling on other internal organs.
In these places, the endometrial tissue expands, swells and begins to bleed synchronously with the menstrual cycle. The blood cannot come out and, as a result, intense pains arise, spikes are formed.
Causes of disease
There is no generally accepted view of the cause of the disease. According to most gynecologists, the disease manifests itself under the influence of immune, hereditary and hormonal factors. It is also accepted that an unfavorable ecological situation, a rapid pace of life and the presence of stressful situations increase the chance of developing the disease.
The probability of occurrence of endometriosis increases if there have been a woman’s life:
- frequent inflammatory processes of the genital organs;
- postponed hard labor;
- surgery on the uterus;
- alcohol addiction and smoking;
- excessive use of products containing caffeine;
- disruptions in the functioning of the endocrine system;
- weakening of immunity.
Symptoms and effects of endometriosis
The manifestation of the disease and whether it is possible to get pregnant with endometriosis depends on the extent of the process and its neglect. At the early stage, of all the signs, only premenstrual pain, spot bleeding and minor deviations in the cycle can be present.
In the future, among the most common symptoms note:
- pain accompanying sexual intercourse;
- menstrual disorders, dysmenorrhea;
- very painful periods;
- prolonged and abundant bleeding between periods;
- pain when urinating and defecating;
- the appearance of blood in the urine.
Prolonged infertility, especially when combined with other manifestations, is also an indirect sign of endometriosis. The diagnosis can be confirmed by performing an ultrasound scan 2–3 days before the onset of menstruation, sometimes a diagnostic operation is required.
Without treatment, the disease progresses and may be complicated, leading to the appearance of:
- Adhesions in the pelvis, causing severe pain during menstruation. Their presence often leads to infertility. In addition, they interfere with the normal intimate life of a woman, making sexual intercourse painful.
- Post-hemorrhagic anemia in a chronic form. Monthly menstrual flow becomes profuse, leading to excessive blood loss.
- Oncological neoplasms. Growing up, endometrial cells can be transformed into malignant tumors.
- Disorders of a neurological nature, resulting from the infringement of nerve endings. As a result, it can provoke paresis, paralysis of the legs.
Does endometriosis always lead to infertility?
If endometriosis is diagnosed, is it possible to get pregnant?
This disease does not provoke 100% infertility, but simply reduces the chances of conceiving a child.
Interference in this situation often becomes ovarian dysfunction. Follicles do not mature in affected organs, ovulation is absent. But if at least one ovary functions normally and the fallopian tube leading to it is passable, the chances of fertilization remain.
The next obstacle is the defeat of the muscular layer of the uterus. As a result, the egg after fusion with the sperm cannot attach and develop normally. At the initial stage of the disease there is a chance that implantation will occur.
In difficult cases, drug or surgical treatment is required, after which the chances of having a baby are increased. It must be understood that although a woman may become pregnant with endometriosis, she needs the help of specialists during the period of carrying the child to avoid miscarriage.
How to get pregnant with endometriosis of the uterus or ovaries? The solution of the problem depends on the degree of development of the disease, the age of the patient and her hormonal background. First, diagnostics – ultrasound, laboratory tests, if necessary, laparoscopy and hysterography.
For treatment, conservative or operational approaches are used, sometimes they are combined to achieve an optimal result. Some women may become pregnant with endometriosis after taking hormones, others require surgery.
Drug therapy is taking drugs containing hormones for 3-6 months. During this period, artificial menopause occurs, leading to regression of the disease. After the end of hormone treatment, the menstrual cycle resumes. A relapse is possible, but during remission there is a chance of getting pregnant.
Surgical intervention involves laparoscopic surgery under general anesthesia. Adhesions are dissected, and endometroid formations are removed. Tissue samples are withdrawn for laboratory testing to confirm the diagnosis and exclude the possibility of oncology.
Among women who have undergone treatment, 60% become pregnant within 6-13 weeks.
Therefore, to the patient’s question: “Is it possible to get pregnant with endometriosis of the uterus?” The doctors answer in the affirmative, specifying that the chances of each woman to conceive are different.
If a woman, despite the diagnosis, wants to have a child, advances in medicine allow her to do so. Qualified specialists in the field of gynecology argue that with endometriosis can become pregnant, but for successful conception and normal fetal development, you need to undergo a course of treatment.
The sooner the disease is identified, the more likely the birth of the desired child. Therefore, you should immediately contact your doctor when anxious symptoms appear and regularly undergo preventive examinations.
Author: Tatyana Cherednichenko, especially for