Can A Woman Get Pregnant With Endometriosis?

Can A Woman Get Pregnant With Endometriosis?

Can I get pregnant with endometriosis? Millions of women around the world must have been asking this question to themselves or perhaps have been trying to conceive unsuccessfully for some time. 

Getting pregnant is one of the happiest things in a woman’s life but unfortunately, due to some reasons they are unable to conceive and one of the key reasons is endometriosis.

What is Endometriosis?

Endometriosis is a disorder of the female reproductive system which is responsible for a significant number of infertility cases in the world. The word endometriosis means a problem with the lining of the uterus.

Normally, when a woman goes through her periods, the uterus lining comes out in the menstrual flow. This lining or tissue is known as endometrium and this is responsible for monthly periods.

When a woman has endometriosis, the tissue grows out of the usual place (uterus) such as ovaries, intestines, behind the uterus or on the bladder. 

This displaced endometrial tissue works according to its nature i.e. thickens, breaks down and bleeds with each menstrual cycle.

Since this displaced tissue has no way to exit the body, over the time, it becomes trapped and forms cysts and scar tissue leaving a woman in agony.

Endometriosis Facts

  1. A common medical condition affecting 176 million women across the world.
  2. 26 million women suffers in India with endometriosis
  3. It affects 1 in 10 women in their reproductive years
  4. Usually occurs between the age of 15 and 49

Symptoms of Endometriosis

  • Pain in the abdomen, lower back or pelvis
  • Trouble getting pregnant
  • Severe cramping and pain during sex
  • Pain with urination and bowel movements
  • Constipation, diarrhea, bloating and fatigue especially during menstrual period

How Endometriosis affects fertility?

There are several factors to consider and many a time it’s not well understood. To simply put, getting pregnant requires an egg to travel from the ovary going pass the fallopian tube and to the uterus for fertilization before implantation into the uterine lining.

  • When endometriosis give birth to ovarian cysts (which also hinders the ovulation) or scar tissue, the reason is clear. However, many women who don’t experience this condition might also feel harder to get pregnant.
  • When endometriosis occurs in the fallopian tube lining, it forms adhesions (abnormal scar tissue joining together). This can make the tissue hinder the path of egg en route to the uterus.
  • Another theory is that endometriosis damages egg or male’s sperm. This could happen due to the high level of inflammation.
  • The endometrial lesion can cause adhesion, hindering the ability of reproductive organs to function effectively.
  • Women with endometriosis may develop lower quality of egg.

Can a woman get pregnant with endometriosis?

Endometriosis is generally referred by the doctor in terms of stages. There are basically four stages used to describe the severity of the condition where stage 1 is mild, stage 4 is severe. 

Point to be noted here is that endometriosis is not the only cause of infertility, there could be other factors as well.

  • Women with 1 and stage 2 might not find difficulty regarding fertility in comparison to the later stages, however, treatment is not guaranteed.
  • Currently, there is lack of evidence that taking medication can improve chances of getting pregnant.
  • Generally, laparoscopy is performed to clear the blockage.
  • If one is unable to conceive after 1 year of surgery, she may be referred to a fertility specialist for IVF.
  • IVF or In-Vitro Fertilization is the most effective treatment but expensive and isn’t immune to failure.

The best person to talk about the condition is your healthcare expert. The good news is most of the women with endometriosis have successfully become moms and lived long and healthy for years.