Endometriosis is a condition that causes the uterine lining (known as endometrial tissue) to grow on the ovaries, fallopian tubes, the exterior of the uterus, and tissues that support the uterus. It affects an estimated 5 million American women of childbearing age. The condition can cause a variety of symptoms including pelvic pain, heavy menstruation, fatigue, and pain during sex.
Additionally, endometriosis can also cause problems for women who are currently pregnant or trying to become pregnant. Here is a look at some of troubles it can cause during the process.
Endometriosis and Infertility
The endometrial tissue that grows outside of the uterus attempts to shed and bleed during periods just like the healthy tissue. However, the body sees this process as abnormal and may attack the tissue, causing scarring in the pelvic areas. This scarring can cause the uterus to become deformed, which can make the process of fertilization much more difficult. In addition to this, the body can also produce toxic substances as a result endometriosis, which can hinder implantation of an egg. Women with endometriosis often have a higher rate of miscarriage and a lower chance of success of having a live birth. However, many women with endometriosis are still able to get pregnant and go on to have healthy babies.
Endometriosis and IVF
In vitro fertilization has become a popular option to help women get pregnant when infertility problems occur. However, endometriosis can still have an adverse effect on the treatment, and in many cases it cuts the success rate in half. The more severe the condition, the more difficulty in conceiving and having a successful birth.
Women who have endometriosis and have been unsuccessful should begin IVF treatment at the earliest opportunity to help to increase their odds of a successful pregnancy.
Endometriosis During Pregnancy
Generally, women with endometriosis experience relief from symptoms while pregnant because the hormones that normally cause periods cease. However, endometriosis still poses some risks during pregnancy.
A recent study cited at a conference of the European for Human Reproduction and Embryology found that women with endometriosis were at higher risk for preterm births. These women were also at risk for Caesarean birth and more likely to develop pre-eclampsia, a condition of high blood pressure and increase protein in the urine. Bleeding before labor was also more common symptom among women with endometriosis. Individuals with endometriosis should get more intensive monitoring during pregnancy to ensure that these problems are managed properly by their obstetricians.
