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Does Endometriosis Affect My Ability to Get Pregnant?

Endometriosis is a condition in which cells from the inside of the uterus (the endometrium) migrate to other parts of the body, causing pain, inflammation, and scarring. Some women suffering from endometriosis experience infertility and difficulties carrying a pregnancy, but 50%-70% of women who suffer from the condition are fertile.

Endometrial lesions can grow on the outside of your uterus or on your bladder, fallopian tubes, bowel, or rectum. Depending on the location of the lesions, you may experience pain while menstruating, defecating, or urinating. 

There’s no known cause for endometriosis, but estrogen might fuel the disorder. Left untreated, endometriosis can worsen and prevent you from getting pregnant. While endometrial lesions can affect your fertility, there are things you can do to prevent complications.

Scar tissue can block your tubes 

Your fallopian tubes are channels that carry fertilized eggs to your uterus. However, endometrial lesions can block your fallopian tubes.

These blockages occur because your immune system is always trying to heal cells inside your body. When endometrial lesions heal, they cause scarring, and those scars can prevent eggs from becoming implanted.

Localized inflammation may prevent fertilization

Women suffering from endometriosis have higher inflammation markers in the peritoneal fluid, which lubricates the reproductive organs. This can create an unfavorable environment for fertilization. Inflammation can occur even in mild cases of endometriosis, and it may cause fertility issues if left untreated.

Treatment options for women with endometriosis

There’s no cure for endometriosis, but there are treatments that can help manage or relieve your symptoms and increase your chances of becoming pregnant. These treatment options include hormone therapy, pain medication, and minor surgery.

In the past, the only surgical option was the removal of the uterus (hysterectomy). However, you can now opt for a less-invasive surgical procedure that removes endometrial lesions while preserving your reproductive organs.

If you have a milder case of endometriosis, you might not need surgery. Instead, your doctor may prescribe medications to reduce your pain and inflammation and prevent your endometriosis from getting worse.

With treatment, many women who have endometriosis eventually conceive and carry a pregnancy without complications.

We’re here to answer your questions and provide you with outstanding care. If you live in Milpitas, California, call the office or contact Dr. Zikria online to schedule an appointment and find out what treatment options are available for you.

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