What Do You Know About Endometriosis And Infertility?

Endometriosis is a common gynecological disorder that affects about 10% of women of child-bearing age. Normally, the endometrium grows in the lining of the uterus in preparation for implantation of a pregnant embryo. 

 

If there is no pregnancy, the endometrium sheds and bleeding, leading to monthly menstruation. As a result of all sorts of reasons, the endometrium grows outside the uterine cavity, forming endometriosis thereby.

 

 

The most common symptom of endometriosis is secondary dysmenorrhea. Also, some people always have a sense of defecation when menstruation comes, accompanied by urinary frequency and stimulating symptoms. Endometriosis occurs in about 20% of patients with chronic pain. The incidence is higher in infertile patients, between 24 and 50%. In some patients, infertility is the only symptom of endometriosis.

 

As for the grading of endometriosis, the modified grading of the American Reproductive Society is widely used at present. The lesions are classified as being tiny, mild, moderate, and severe according to the size, depth, and anatomical changes in the pelvic cavity.

 

However, not all endometriosis is painful, and the endometrium pain is sometimes not related to the severity of endometriosis. Endometriosis can affect fertility, but it does not mean that having endometriosis will definitely lead to infertility. Especially in mild cases, the chance of pregnancy are not much different from those of normal people. But as the severity of endometriosis increases and scar tissue (adhesions) becomes more common, the chance of conceiving naturally decreases.

 

Why does endometriosis cause infertility? The etiology has not been completely established, and the following reasons are speculated. 

 

Scar tissue (adhesions) is similar to spider webs and can be either membranous or dense. Adhesions in moderate and severe endometriosis are more common. Adhesions in moderate and severe endometriosis are more common. This scar tissue destroys pelvic anatomy. 

 

If the ovary becomes enveloped and sticky, the egg cannot be captured and cannot reach the fallopian tube. If the fallopian tubes and ovaries are attached to the Douglas fossa, females will be less likely to get pregnant.

 

 

In patients with tiny-mild endometriosis, where there are only small or no scar tissue spots, why can infertility also occur? 

 

In fact, it can be associated with inflammatory factors, immune factors, egg and embryo quality problems, endocrine abnormalities, fallopian tube function or implantation problems, according to the doctor's point of view.

 

Can medication for endometriosis improve pregnancy rates? 

 

Commonly, some drug treatments (steroid-based or "anti-steroid-based") for endometriosis do not significantly improve fertility. But the medication can be used as a preparation for surgery or after surgery to optimize the time it takes to recover from the pain. At present, some people still believe that medication can improve pregnancy rate, but that is not based on research results, just based on what some experts say.

 

However, the herbal medicine Fuyan Pill is often used in solving endometriosis. Actually, improving disease is to indirectly help patients increase the likelihood of having children, and Fuyan Pill is suitable for female patients with fertility needs. Because it does not cause side effects, and it increases female body resistance and self-repair ability, which can help them improve their health and make them fully prepared for pregnancy.