During your menstrual cycle, the uterine lining, known as the endometrium, starts thickening in preparing for your pregnancy. If the pregnancy does not happen that particular month, your endometrium is shed during your periods to begin the same process all over again.
In case you have an endometriosis, the tissues, which are like endometrium lining, start growing outside the uterus at places where they should not be growing. Such places may be inside or over your ovaries and other organs supporting the uterus, such as your Fallopian tubes, cervix, rectum, vagina, bladder, bowel and even the lining of your pelvic cavity.
Strangely, these tissues, even behave in the same manner as the endometrial tissues. They build up and break down as the endometrium tissues do during your menstrual cycle. The only exception here is that these tissues do not get discarded like the endometrium tissues in the absence of an outlet. The result is that this buildup of endometriosis may cause irritation, the formation of scar tissue (adhesion) and inflammation. Because of these piled-up tissues, eggs may not be able to get out of the ovaries. These tissues may even scar and block the Fallopian tubes and prevent the sperm and egg meeting, with the result that the egg will not get fertilized by the sperm rendering you infertile.
- Pain in the pelvic area
- Painful mating
- Pain while defecating during your periods
- Before and after your menstruation, you may experience severe pain in your abdomen
- Pain in your lower back
- Pain while urinating
- Menorrhaggia (Heavy Periods)
- Spotting between your periods
Some women having endometriosis may not experience any of the symptoms.
Endometriosis and Pregnancy
Most women having endometriosis may conceive normally. But in case you are finding it difficult to achieve pregnancy, the dominant cause may be the presence of endometriosis. To know this, your doctor may suggest you to undergo a laparoscopic diagnosis. In this diagnosis, the diagnostic surgeon may insert a tiny camera through a plastic tube into your abdomen to examine abnormal growth of endometrial tissues. The surgeon may like to verify the diagnosis with a biopsy. If your endometriosis diagnosis is confirmed, you may choose the treatment option as per the severity of the ailment.
How to get pregnant when you have been diagnosed with Endometriosis
Medicines, either alone or combined with the surgery, help in reducing the endometriosis symptoms such as inflammation and pain. If you along with your treating doctor have opted for surgery, the surgeon is expected to eliminate as many of the sickly tissues as possible.
In many a women, surgery considerably improves the possibility of achieving a pregnancy. But it is pertinent to know that the pregnancy rates are found to be lower among women diagnosed with severe endometriosis.
Some women having endometriosis may experience ovulation problems. Their ovulation is induced with fertility drugs like Clomid (Clomiphene Citrate). Sometimes, hormonal therapy is prescribed for inducing ovulation. And, once you start ovulating normally, your doctor may advise you to go in for artificial insemination, known as intrauterine insemination, for achieving pregnancy. In this procedure, sperm are directly inserted into your uterus.
It is important to bear in mind that some typical endometriosis treatments may prevent your pregnancy. Or, in some cases the Hormone Danocrine may cause some serious birth defects in your offspring. The hormonal medicine is usually given to patients for treating pelvic pain and the fertility issue because of some uterus irregularities such as endometriosis. The medicine is also used for treating breast pain and some other breast conditions.
Problems with your Fallopian Tubes
One of the two ovaries releases an egg after ovulation every month. The egg then travels via one of the two Fallopian Tubes, which are slender pipes connecting the ovaries to your uterus. Usually, the egg meets the sperm in the Fallopian Tubes and gets fertilized. Thereupon, the fertilized egg, also known as embryo, will reach the uterus, thus, beginning your pregnancy. The Fallopian Tubes are extremely delicate organ of the female reproductive system. If they get blocked, there is no way for the sperm to fertilize the egg and making the egg’s journey to the uterus.
How to get pregnant with Fallopian Tubes problems
To ascertain if your Fallopian Tubes are blocked or not, your treating doctor may ask you to undergo one of the Fallopian Tubes Diagnoses. Laparoscopy or a hysterosalpingogram (HSG) is usually preferred. In the HSG test, dye fluid is passed into your uterus through your genitalia by a catheter.
X-rays are done to know if the tubes have a blockage of any kind or if the dye is flowing smoothly into your abdomen. In another process of HSG, saline and air are used instead of dye and ultrasound is performed rather than X-rays. If your doctor finds problems in your Fallopian tubes, he/she may suggest you to go in for a surgery for correcting the damage or unblocking the tubes.