Treatments for getting pregnant if you suffer from endometriosis

endometriosis y tratamientos

Endometriosis does not always lead to infertility, with 50-70% of affected women achieving pregnancy naturally. However, some patients may face infertility due to complications such as tubal involvement or reduced ovarian reserve.

For them, assisted reproductive techniques become a vital option to conceive. Interestingly, many women discover they have endometriosis only after seeking help for fertility problems.

óvulos para FIV

How does endometriosis affect fertility?

Endometriosis can make getting pregnant a little more complicated, but definitely not impossible.

What happens is that endometriosis can cause inflammation and scar tissue around the reproductive organs, which can interfere with ovulation or egg transport.

Even so, many women with endometriosis have achieved successful pregnancies. Fertility treatments can help enormously, providing various options for overcoming the obstacles that endometriosis can present.

Assisted reproduction treatments for getting pregnant with endometriosis

óvulos para FIV

For women with endometriosis, there are specific assisted reproduction techniques adapted to their needs:

This is recommended in cases of mild endometriosis, where the quality and mobility of the sperm can be a limiting factor. This method allows the sperm to be placed directly into the uterus during the ovulatory period, increasing the chances of fertilisation.

This is the most effective option for women with severe endometriosis. It consists of extracting eggs from the woman to be fertilised in the laboratory with the partner’s sperm or donor sperm, either conventionally or by ICSI.

The resulting embryos are transferred to the uterus, significantly increasing the chances of pregnancy even in cases where endometriosis has severely affected fertility.

This is ideal for those whose ovarian reserve is affected by endometriosis. Donor eggs are used to perform IVF, which can improve pregnancy success rates.

This is suggested for women diagnosed with endometriosis who wish to postpone childbearing. Egg cryopreservation allows them to preserve their fertility for use at a more appropriate time in the future.

Conventional treatments for endometriosis

endometriosis y tratamientos

There are conventional techniques that can improve the chances of pregnancy for a woman with endometriosis:

  • Fertility drugs: these drugs stimulate ovulation, increasing the likelihood of conceiving. Their effectiveness varies according to the degree of endometriosis and other individual patient factors.
  • Laparoscopic surgery: This minimally invasive procedure removes endometriotic tissue, which can relieve symptoms and improve fertility. Surgery is particularly useful in cases of mild to moderate endometriosis, where endometriotic tissue obstructs the reproductive tract.

These options, along with the advice of a fertility specialist, can help women with endometriosis achieve their reproductive goals.

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Pregnancy symptoms with endometriosis

Symptoms of pregnancy in women with endometriosis can vary and, in some cases, can be similar to the symptoms of endometriosis, which can complicate identification.

Some common symptoms of pregnancy include nausea, vomiting (especially in the first trimester), fatigue, increased breast tenderness, and changes in food cravings or aversions. However, due to endometriosis, some women may experience an increased level of pelvic pain or discomfort due to changes in endometriotic tissue.

It is worth noting that pregnancy offers a temporary pause in endometriosis symptoms due to the suspension of menstrual cycles and the reduction of oestrogen levels, a hormone that promotes the development of endometriosis.

During pregnancy, many women experience noticeable relief from pain and other associated symptoms. However, it is common for these symptoms to recur after childbirth.

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