Getting pregnant despite endometriosis?
- Endometriosis is a chronic disease that produces tissue that is very similar to the endometrium but develops outside the uterine cavity in various areas of the abdomen.
- Often it forms in the area of the peritoneum on the pelvis, in the muscular layer of the uterus, on fallopian tubes and ovaries, between the rectum and vagina and on the bladder and intestinal wall.
- The symptoms of bowel and bladder are particularly uncomfortable, as it is often the case that there is blood in the stool or urine.
Endometriosis is a disease of the uterine cavity, which can be very unpleasant for those affected. It is extremely rare that organs such as the lungs, heart or navel are affected. Endometriosis is influenced by the hormones of the monthly cycle. During the period of menstruation, the tissue secretes substances that cause pain, swelling and atypical bleeding. In our guide we explain everything about endometriosis. In addition, you will learn how you can become pregnant despite illness.
1. You can get pregnant despite endometriosis
Endometriosis often goes undetected
In some women, the common pain is part of everyday life and in 70% of those affected is the cause of endometriosis, which remains unrecognized for a long time and was usually treated insufficiently.
Can I become pregnant? Many women who wish to become pregnant despite endometriosis are asking themselves this question.
Endometriosis makes it impossible to pursue the desire to have children naturally. In the case of endometriosis, pregnancy is possible only if you undergo artificial insemination. The pill stop and pregnant can not be.
In addition, there is various possibilities, to get pregnant despite endometriosis. These include: Vitrification (freezing) of immature oocytes and classical in vitro fertilization (IVF). The IVF is particularly suitable for women who have endometriosis in the advanced stage has impaired the functionality of the ovaries and the quality of the eggs.
The oocyte and the sperm cell are combined in the laboratory. The fertilized embryo will later be surgically embedded in the uterus. There is no big risk here. Here you will find more information about artificial insemination.
The fear that endometriosis causes more complications in pregnancy is unfounded, because scientifically no increased complication rate was proven. The risk of gestational diabetes or high blood pressure during pregnancy is also not increased.
Endometriosis has no influence on the child’s growth and development. Early or stillbirths do not occur more often. Endometriosis and becoming pregnant are not mutually exclusive.
2. Endometriosis has different stages
The complaints of endometriosis are often indistinguishable from conventional menstrual pain.
The fact that many women do not even notice an endometriosis disease is mainly because there are different degrees of this disease. Some do not cause pain, others do. So it can happen that some years go by from the appearance of the first symptoms up to the diagnosis.
In order to be able to assess the endometriosis correctly, it was divided into 4 degrees, which should make it possible to assign the treatment options directly:
- Grade 1 (low): In the pelvis and / or the cervix endometriosis are found. These are smaller than 5 mm. The fallopian tubes are still continuous.
- Grade 2 (mild): Above the bladder, cervix and pelvis, there are foci of the disease. The blasts are larger than 5 mm and the fallopian tubes are already damaged.
- Grade 3 (moderate): The foci of endometriosis are located on the musculature of the uterus. Cysts form on the ovaries or on the ligaments that stabilize the uterus.
- Grade 4 (severe): Endometriosis also infects other organs such as the bowel, bladder and, in rare cases, the lungs.
3. The diagnosis of endometriosis is difficult
In this illustration, you can see where the endometriosis foci are typically located.
A simple diagnosis of endometriosis is sometimes even doctors not possible, even if a laparoscopy was performed. To facilitate the diagnosis, a few questions have been summarized below. You should have one egive an indication as to whether it could really be an endometriosis.
- Are the menstruation associated with pain?
- The pain occurs at the beginning of the bleeding or rather in front of it?
- Occur abdominal pain in you more often, regardless of the menstruation?
- Is there pain during intercourse, depending on the position?
- There is blood in the stool or urine before or during the menstrual period?
- Maybe there is an unfulfilled wish for a child?
- Does it happen that bleeding occurs??
- Are more frequent back pain during the period?
- Are defecation and urination associated with pain?
The severity and type of pain depends on the size and number of endometriosis foci.
4. The causes of endometriosis disease are not yet clear
Endometriosis was first described in 1861, but to date there are only a few theories of what the causes might be. Secure scientific knowledge has not been provided so far.
One theory is that endometriosis is caused by blood and tissue not draining completely through the vagina and instead entering the abdominal cavity via the fallopian tubes. It is spoken of a retrograde menstruation, however, not all women with this retrograde menstruation develop endometriosis.
Hereditary predisposition or a defect in the immune system as well as a mechanical displacement of the mucous membrane during surgery on the uterus are suspected to cause endometriosis.
As a possibility, the spread of endometrial cells via lymph nodes and blood as well as environmental influences is considered. Doctors agree at least that a disease of endometriosis is a multifactorial disease.
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