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The word “endometriosis” (say : “end-oh-me-tree-oh-sis”) means a problem with the lining of the uterus. Figure : Endometriosis affects parts of your body around your womb but is often found in the ovaries, uterus, and fallopian tubes. Endometriosis may hurt, but it doesn’t cause cancer or affect your overall health, although it might make it harder to get pregnant. If you have painful periods, severe cramping and pain during sex, low back pain or rectal pain, you may have endometriosis. Patients with moderate to severe endometriosis have been known to have difficulty in getting pregnant. However, if you have endometriosis, tissue from the lining of the uterus moves through the fallopian tubes and gets on your ovaries, in your period, this tissue swells and bleeds, just like the lining of your uterus. Normally, every month when you have your periods, the lining (which is also called endometrial tissue) comes out in menstrual flow. This is a way of looking inside your uterus by making a small cut in your skin and putting a thin tube inside.
Another medicine that might help is along – acting progestin (this is a hormone that comes in a shot; it’s also used for birth control).

If endometriosis is keeping you from getting pregnant, surgery might make it easier for you to get pregnant. Patients will have to follow a strict protocol of treatment wherein the periods will be suppressed for a certain of time to allow the endometriotic process to subside.
If your doctor decides to perform this procedure, you will be given medicine so you won’t feel any pain.
However, you might still need other kinds of fertility treatments if you want to get pregnant. Their best chance of getting pregnant is with the test tube baby procedure where, in this subset of people, the pregnancy rates can be high as 50%. Sometimes the side effects of the GnRH analog go away if you also take an estrogen pill every day.

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