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Endometriosis is a condition affecting millions of menstruating women in which endometrial tissue, the tissue that lines the inside of the uterus, grows outside the uterus and attaches to other organs in the abdominal cavity, such as the ovaries and fallopian tubes. About 30 to 40 percent of women with endometriosis have problems conceiving a€“ in fact, infertility becomes more likely as the disease progresses.
The symptoms of endometriosis can include pain, infertility, and abnormal menstrual bleeding.
Laparoscopy, an outpatient surgical procedure, is necessary to confirm a diagnosis of endometriosis after a medical history review and pelvic exam.
Endometriosis is a progressive disease that tends to get worse over time and can reoccur after treatment. Some people believe that endometriosis, and not ovulatory dysfunction, is the single most frequent cause of infertility. Infertility in women with severe endometriosis is often resistant to treatment with ovarian stimulation plus intrauterine insemination. Treatment for endometriosis associated with infertility needs to be individualized for each woman. IHR has treatments for a variety of conditions, including ovulatory dysfunctions, endometriosis, immunological infertility and many others. Perhaps less known is our work with individuals and couples who are considering assisted reproduction, but who are uncertain of their next step.
2) Discussion of how fertility status is evaluated with a description of some of the tests that are performed. Although the cause of endometriosis is unclear, treatment and management of the disease can be effective. After the initial diagnosis, your physician will classify your condition as stage 1 (minimal), stage 2 (mild), stage 3 (moderate) or stage 4 (extensive) based on the amount of scarring and diseased tissue found.
Symptoms include painful menstrual periods, abnormal menstrual bleeding and pain during or after sexual intercourse. Unfortunately, the diagnosis of endometriosis is not very reliable since it requires surgery (laparoscopy) and, even then, microscopic disease may be overlooked.
There are no easy answers, and treatment decisions depend on factors such as the severity of the disease and its location in the pelvis, the age of the woman, length of infertility, and the presence of pain or other symptoms. The IHR experts work closely with couples undergoing the many different types of assisted fertility treatments available. Endometriosis can affect the ovaries (and probably egg quality), can increase the risk of miscarriages and may cause infertility.
Our physicians have extensive experience in the treatment of endometriosis for infertility.
Infertility is the inability to get pregnant after a year of unprotected intercourse.Infertility Symptoms, Causes (Men, Women), Drugs and StatsInfertility causes in women can be an ovulation disorder, blockage of the Fallopian tubes, and hormonal defects. We are renowned for our specialized knowledge and high infertility success rates even in difficult cases. Often the first choice of treatment associated with mild to moderate endometriosis is controlled ovarian hyperstimulation with intrauterine insemination, which has a reasonable chance to result in pregnancy if other infertility factors are not present.
IHR's expertise in endometriosis and infertility lies in our willingness and ability to individualize our approach to best suit each and every one of our patients.
If this is not effective after about 6 cycles (maximum), then in vitro fertilization should be considered. If you have any questions as you review the material on endometriosis and infertility, please contact us for a FREE Endometriosis and Infertility E-Mail Consultation. Endometriosis may cause infertility due to organ damage, embryo implantation problems, increased white blood cells within the abdominal area, and stress on the immune system.
While pelvic or ultrasound exams may suggest endometriosis, the only way to definitively diagnosis the disease is with direct inspection via laparoscopy. A laparoscope is a long, thin, lighted, flexible, telescope-like instrument, inserted through a small surgical incision just below the navel. The surgeon can then view and treat, if necessary, endometriosis or other pelvic conditions. Microlaparoscopy is now available where a telescope the diameter of the tip of a ball point pen is used.
Ovarian function (presence or absence of ovulation and effects of ovarian "age") Newsletter MedicineNet; Slideshows.
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