Endometriosis and its effect on fertility

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Endometriosis in the uterus, if not treated promptly, will cause bacteria to invade the ovaries, bladder ... leading to severe inflammation in these areas. These are the causes leading to inflammatory diseases of the gynecology, uterus ... or worse, complications into cancer, in the long run causing infertility and infertility for couples.

1. What is endometriosis?

The endometrium is a layer of cells on the surface of the female uterus, the endometrium is the site of implantation for embryos during pregnancy. Normally, if conception does not take place, this endometrial layer will shed and flow out with menstrual blood (menstrual cycle). However, for many reasons, the sloughed off debris from the endometrial lining flows back into the ovary or fallopian tube, becomes blocked in any part of the ectopic, and stays there, leading to infection or bleeding. This phenomenon is called endometriosis.
Endometriosis in the myometrium often occurs in women of reproductive age. The symptoms of endometriosis are usually quite common, but in some people they are very faint, difficult to detect, so it often leads to dangerous complications, difficult to treat. The symptoms of endometriosis in the uterus will vary depending on the stage of the menstrual cycle, however, some typical symptoms of the disease are:
Patients have intermittent pelvic pain, back pain. or pain during sex ; In some cases, the patient has constipation, bloating, abdominal distension or may have diarrhea; Irregular menstrual cycles, pain between periods, heavy menstrual bleeding with blood clots; The disease also makes women feel tired, lack of energy, thereby affecting daily life; Some cases of endometriosis in the uterus cause infertility or ectopic pregnancy; Anal pain and discomfort when urinating, some cases of blood in urine when endometriosis in the uterine muscle . Therefore, if you notice any symptoms, the patient should go to a medical facility to properly examine and diagnose the disease, thereby taking timely treatment measures. Because some dangerous complications can occur when having endometriosis and the ability to get pregnant is also partly affected.

2. Can endometriosis be pregnant?

Endometriosis in the uterus is generally very dangerous, because it will cause pain, seriously affecting the health and life of the patient. Besides, endometriosis can you get pregnant? Also of interest to women, because it affects reproductive health and marital love life.
Accordingly, endometriosis, if not treated promptly, will cause bacteria to enter the ovaries, bladder ... leading to severe inflammation in these areas. These are the causes leading to inflammatory diseases of the gynecology, uterus, ... or worse, complications into cancer, in the long run causing infertility and infertility for couples.
Endometriosis can cause infertility because:
Fallopian tubes in women are very small, so they are easily blocked, so if there is any obstacle, it is difficult for eggs to enter the ovary or prevent sperm find eggs, so it is easy to cause infertility. The sticky cords can cause the position of the ovaries and fallopian tubes to move or the endometriosis parts can cover the entire ovary, preventing ovulation from entering the fallopian tubes, leading to infertility. infertility. Besides, endometriosis in the uterine muscle will cause bleeding. If not treated promptly, blood-filled sacs will appear on the ovaries due to the old blood remaining, affecting the ovulation process. In addition, pelvic inflammatory secretions can make it more difficult for sperm to enter the uterus or cause other adverse effects on sperm. At the same time, these substances will affect endometrial cells, causing problems with conception and embryo development. Endometriosis in the uterus will also reduce egg quality or disrupt ovulation. Therefore, the number of eggs is low and the ovulation process is abnormal, the ability to conceive will decrease. So, can endometriosis be pregnant? The answer is yes, because only about one-third of women with endometriosis have difficulty conceiving. Because only cases of endometriosis that cause large and sticky scars will affect fertility. As a result, some people have endometriosis and the ability to get pregnant is completely normal.

3. Treatment of endometriosis

There are many methods of treating endometriosis, depending on the condition, stage and effects of the disease, the doctor will prescribe the appropriate treatment method for the patient. These treatments include:
3.1 Medical treatment
This treatment is effective in reducing pain, but does not improve fertility. When using the drug will inhibit ovulation. Commonly used endometriosis medications include:
Progestin or progestin in combination with estrogen; Gonadotropin-releasing hormone (GnRH) agonist or antagonist; Danazol and Aromatase Inhibitors. 3.2 Surgical treatment
Open surgical treatment or laparoscopic decompression will increase the pregnancy rate. However, this treatment method carries the risk of decreased ovarian reserve and the possibility of recurrence after surgery. 3.3 Combined medical and surgical treatment
The combination of medical and surgical treatment will not increase the likelihood of pregnancy in patients with endometriosis. However, medical treatment before surgery will support the surgical process with less bleeding, less tissue proliferation and less adhesion to the pelvis. 3.4 Assisted Reproductive Therapy
Treatment with ovarian stimulation and IUI : Ovarian stimulation and IUI increase the likelihood of pregnancy in infertile women. Treatment with IVF: Endometriosis can have many effects on the outcome of IVF. Therefore, in vitro fertilization is an appropriate treatment for endometriosis if the patient has decreased fallopian tube function, infertility, or failure of other treatments. Endometriosis is not preventable, because it has genetic, personal, and hormonal factors. In some cases, endometriosis in the myometrium can also appear at the start of the first menstrual period, so people with endometriosis should not delay treatment and get pregnant. .
Customers can come to the Center for Reproductive Support - Vinmec International General Hospital. This is the leading center in Vietnam, which has developed and applied a comprehensive medical examination and treatment process, combining both gynecology and obstetrics and gynecology to provide the optimal method for each patient's case.
Advantages when customers choose Vinmec fertility center:
Equipped with modern equipment, clean air system according to international standards to ensure lab quality, single cabinet system to optimize quality embryo, improving the success rate for each cycle of artificial insemination. Implement most advanced assisted reproductive techniques in the world: ICSI (injection of sperm into the oocyte cytoplasm); support embryo escape membrane; Reproductive reserve: embryo freezing, sperm freezing, oocyte freezing to help customers take the initiative in giving birth at will, transferring embryos on day 5, minimizing pregnancy; male infertility techniques (PESA, MESA, TEFNA, TESE) Besides advanced reproductive support methods, a team of excellent doctors in the country and the world, with prestige and long-term experience in the field of infertility .

Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.