We have published articles, dedicated to endometriosis in the past. Undoubtedly, the one question which interests many of you the most is “Can I conceive naturally if I have endometriosis?” In this article we address this question specifically.

What is endometriosis?

Endometriosis is a condition in which cells from the uterine lining / endometrium / are found in atypical sites – in the Fallopian tubes, the ovaries, even in the intestines. These outgrowths are influenced by sex hormone levels. They react in very much the same way that the lining of the uterus does (bleeds cyclically every month). This results in the development of inflammation and the formation of adhesions that may lead to issues in the future, including such related to conception.

Getting pregnant with endometriosis

In general women with mild forms of endometriosis have the same chance of getting pregnant naturally as women without this condition. In middle and severe forms of endometriosis, issues associated with natural conception may occur. These issues are most often caused by adhesions in the fallopian tubes or endometrial outgrowths in the ovaries. Fallopian tube adhesions partially or completely obstruct the transportation of the egg along the tube while endometrial growths in the ovaries can affect ovarian reserve. Depending on the exact cause, the treating obstetrician-gynecologist directs the patient to the most suitable method of treatment which would allow the patient to conceive. Methods of treatment include conservative treatment with medication, intrauterine insemination (IUI), in vitro fertilization (IVF) or surgical removal of endometrial growths.

It is very important to know that endometriosis is diagnosed only histologically. In other words a  diagnosis is put forward only after a laparoscopic surgery and histological tests. Endometriosis is by no means a verdict especially when it comes to conception. Some minor changes in lifestyle can help natural conception. For example, a diet rich in fruit and vegetables along with regular physical activity suppresses inflammatory processes, which cause adhesions and tissue damage.

 We must not forget that the most important thing when it comes to any medical condition is early diagnosis, which allows timely and successful treatment.

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