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Endometriosis and Pregnancy - Background

Endometriosis is a medical condition that happens when the tissues that usually line the uterus multiply or attach themselves to the organs found outside. During menstruation, the uterual lining is shed as per normal, but the portion growing outside the uterus remains. During the process of ovulation to menstuation, the uterual tissue that grows externally is continuously provoked. It might get torn, disintegrate and bleed. This could lead to scar tissue formation and some pain and discomfort.

There are over 7 million reported cases of endometriosis among females in the US, according to the Endometriosis Research Center. It is one of the primary causes of chronic pelvic pain, infertility, and gynecologic surgeries.

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Why Does Endometriosis Occur?

At present, the cause behind the occurrence of endometriosis is unknown, although experts have proposed several possible explanations. Studies of late suggest that this condition could be dictated by heredity.

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Symptoms

Common symptoms of endometriosis would include, chronic pelvic pain, pain in the lower back, dysmenorrhea, irregalur or heavy breathing, and fatigue. Women may also experience pain during sexual intercourse and ovulation, painful bowel movements and gastrointestinal problems such as bloating and diarrhea and constipation. Endometriosis can result to infertility, in severe cases.

Diagnosis

The only sure method to diagnose endometriosis is through surgery. Other laboratory and diagnostic tests like ultrasound, CAT scans, or MRIs do not normally lead to conclusive results. The doctor would need to look into the symptoms being felt, as well as the patient’s health history. In an attempt to diagnose the illness, the doctor has the option to conduct a laparoscopic or a laparotomy procedure.

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Endometriosis Cure?

Endometriosis has no cure yet, but physicians recommend several treatment methods to help a patient manage her symptoms.

Treatment

Methods to manage endometriosis include:

Pain Medication

Medications such as acetaminophen, ibuprofen and aspirin, which are available over-the-counter, are used to decrease discomfort and pain. If no effect is evident, prescription medications could be the next step.

Hormonal Drug Therapy

Hormone drugs can be used to block a patient’s ovulation. The goal is to stop the lesions from being aggravated further and to protect against the onset of various other illnesses. These types of medications include GnRH agonists, oral contraceptives, and progesterone drugs. Hormone therapy is used especially for patients who have undergone surgery.

Surgery

Doctors use conservative surgery such as laparoscopy and laparatomy to diagnose the disease, as well as remove the abnormal growths. If successful, this would help get rid of the pain and boost the woman’s chances of pregnancy.

If conservative surgery is not effective, doctors may recommend hysterectomy and/or other, more invasive, surgical methods.

Alternative/Natural Therapy

Quite a number of patients choose to go the alternative route of treatments instead of undergoing surgeries and taking medications. Some of the more popular alternative treatments include Chinese medicine, acupuncture and nutritional therapies such as natural herbs for fertility. There is a significant volume of literature supporting these natural treatments, each promoting wellness while at the same time stimulate the body’s innate healing and defense mechanisms.

Infertility Symptoms – Definitions

When a couple is unsuccessful at having a baby after 12 months of unprotected, regular intercourse, they are considered infertile. Infertility is defined as the inability to reproduce.

Members of the couple react differently after being diagnosed to be infertile. Severe reactions occur more frequently among childless couples.

Infertility in couples who’ve never born children is primary infertility.

On the other hand, secondary infertility describes the condition wherein couples who have successfully become pregnant once are having difficulties in getting pregnant again.

Maleness

Various factors, both emotional and physical, can lead to infertility.

“Male factors” like hormone deficiency, low sperm count, impotence, retrograde ejaculation, environmental pollutants and scarring from sexually transmitted diseases (STDs) cause roughly 30 to 40% of infertility cases.

Sperm count may be negatively influenced by marijuana abuse or use of prescription drugs, like cimetidine, spironolactone, and nitrofurantoin.

Being Female

Pelvic infection, scarring from STDs, endometriosis, ovulation dysfunction, fallopian tube abnormality, tumors, hormonal imbalances, and even poor nutrition are some of these “female factors.” These are the primary causes of 40 to 50 per cent of infertility cases.

Risk factors contributed by both the male and the female, in addition to other unknown causes, comprise 10 to 30% of infertility cases.

It is estimated that just 10 to 20% of couples fail to conceive after a year. It is very crucial for couples to contine trying to have a baby at least for 12 months.

Age Influenced Factors

Couples who are healthy, are below 30 years old, and have intercourse frequently have just a 25 to 30 per cent chance a month of conceiving. A woman’s fertility peak is during her 20s. Pregnancy for women more than 35 years old is 10% less, even lower for those over 40.

More Non Age Related Causes

It is not just age or its related factors that causes infertility. The risk of infertility is also heightened because of the following factors:

* Having more than one sexual partner (high STD risk)
* Sexually transmitted diseases
* History of pelvic inflammatory disease
* History of epididymitis or orchitis in men
* Mumps among men
* Male varicocle
* Health background citing exposure to DES (both male and female)
* Eating disorders among women
* Anovulatory and irregular menstrual cycles
* Endometriosis
* Problems with the uterus or the cervix
* Long-term disease like diabetes

Other Useful Information

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