Endometriosis - Part VI

Severe endometriosis

Many studies have indicated that infertility treatment on women with severe endometriosis does not work towards improving their pregnancy rate.

But many other studies have specified that if compared to ‘no treatment’, surgical treatments to remove severe endometriosis do improve the pregnancy chances.

There is no denying the fact that even after surgery, the pregnancy rates stay behind against expectations. The reported pregnancy rate improvement is just between 1.5 to 2 percent only.

Some infertility experts and obstetricians and gynecologists are of the view that fertility suppression with Gonadotropins-Releasing Hormone agonist, (Gn-RH-agonist), drugs like Synarel, Lupron or Zoladex for nearly six months after severe endometriosis surgery helps in improving the chances of pregnancy.

Others negate this belief.  They argue that the credence is fallacious and provides no benefit. In essence, there is no universal consensus among infertility experts.

Sadly enough, drugs that provide ovarian stimulation and even intrauterine insemination are not found to be helpful in achieving pregnancy after severe endometriosis surgery.

With distorted pelvic composition, artificial insemination is improbable to succeed in attaining pregnancy. If you are facing such a situation, In Vitro Fertilization (IVF) is the obvious choice for you to get pregnant.

Studies have shown that In Vitro Fertilization (IVF) among women suffering with severe endometriosis give varied success rate in pregnancy results.

The chances of success would be higher if you are under the age of 40 and have been producing  sufficient eggs even by ovarian stimulation with drugs.

Mild/Minimal/Moderate Endometriosis

In several cases of  mild, minimal or moderate endometriosis,  your treating doctors may recommend you to undergo laparoscopy.

The procedure, as you know, is carried out for removing or vaporizing the growth of endometrial tissue. According to some studies, many women improved their chances of pregnancy after they underwent laparoscopic surgery, but the exact success rate is still not known.

If the  pregnancy is not happening even after undergoing surgery,  In Vitro Fertilization (IVF) is considered to be the option for improving fertility. Taking hormonal therapy drugs for getting relief in endometriosis-related pain will only restrain ovulation.

And, the result would only fire back with delayed pregnancy. Another laparoscopy is not the recommended to improve fertility unless the pain symptoms prevent undergoing IVF. More than one surgery, may hamper the smooth functioning of your ovaries, particularly when ovarian cysts have been removed from them.

This, in turn, would affect the IVF success rate. In IVF proceduresperm and eggs are combined to make an embryo (the earliest form of a baby) in a laboratory. Embryos, thus, developed are placed in the woman’s womb.

IVF is a kind of Assisted Reproductive Technology (ART) that helps in improving the chances of pregnancy among those women  facing infertility relating to endometriosis. The IVF process is quite dynamic.

The desiring woman is given drugs to cause super-ovulation.  That means she will  be producing more than one egg at a time. When these eggs mature, they are collected with the guided help of ultrasound and placed in a dish.

They, then, are fertilized with a man’s sperm and shifted to a machine called incubator to develop into embryos. The distinct atmospheric conditions are created similar to that of a womb.

After 3 to 5 days of monitoring, the embryos are then transferred to the woman’s womb to develop as a baby. In a span of about 2 weeks, the woman is examined to know whether the process has been a success.

For treating infertility that is related to endometriosis, hormonal therapies are not as successful as the use of hormones in IVF. For example, the American Congress of Obstetricians and Gynecologists (ACOG) does not does not approve of the use of contraceptive pills or GnRH agonists for treating infertility related to endometriosis.

The use of these hormonal drugs not only prevents ovulation, but also delays pregnancy. It is pertinent to know that the hormones given during IVF procedure do not alleviate the endometriosis lesions.

That simply means that the pain may come back after pregnancy. And, not all the women suffering endometriosis will be able to conceive with IVF.

Researchers are working hard to look for more hormonal therapies for treating infertility  because of endometriosis.

Endometriosis and its Symptoms

Endomeriosis causes and health problems

Prevention and Diagnosis of Endometriosis

Endometriosis Treatment with Drugs

Endometriosis Treatment with Surgery

How to cure Endometriosis naturally?

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