Endometriosis is a very unpleasant female condition. The most characteristic feature of the condition is severe menstrual complaints that become more severe as you get older than less. Many women are infertile due to endometriosis.
In short, it means that uterine lining is not only in the womb, but also in other places. Think of ovaries, bladders or intestines. Endometriosis occurs in about 1 in 10 women. Read here what the disease is exactly or there is a treatment and you can endometriosis become pregnant?
What is endometriosis?
In order to understand why it is difficult to become pregnant with endometriosis, first a little more about this condition.
The inside of the uterus is lined with mucous membrane. This mucous membrane is also called endometrium. Normally, the mucous membrane is exclusively in the womb, in women with endometriosis the mucous membrane is also in other places. For example, it has attached itself to your ovaries, fallopian tubes, intestines or bladder. In itself there is nothing wrong, but that will change when your cycle starts.
During your menstrual cycle, the mucous membrane prepares for a possible implantation of a fruit. It is thickened and well blood tested. This not only affects the mucous membrane in your uterus, but also the mucous membrane that has adhered to the wrong spots.
When no fertilization has taken place, the mucous membrane is repelled by your body and leaves your body through your vagina. You menstruate. But the mucous membrane that is not in the womb can not leave the body through the vagina because it is not at that opening. Nevertheless, it does bleed. Because there is no other opening to leave the body, it remains on the surface of surrounding organs and tissues. This causes inflammation and especially severe pain.
If the mucous membrane has adhered to the ovaries, a cyst may develop. This is a cavity that is filled with blood. Such a cyst is called endometrioma or chocolate cyst (due to the brown color). These cysts can be quite in the way, because they block the ovum so that fertilization can not take place.
Do I have endometriosis?
The most characteristic symptom of endometriosis is extremely severe menstrual symptoms. In some women even so fierce that they have to lie in bed at home. Usually you have considerable cramps and pain with your first menstrual period and this pain increases as you get older. It can even be so bad that you not only cramps around your period, but also in the weeks in between. If you notice this, there is a chance that you have endometriosis. Especially if you also notice that you can not get pregnant.
There are women who have endometriosis and hardly any complaints. On the other hand, there are also ladies who suffer enormously because they have extremely strong menstrual cramps. Other symptoms are:
- Menstrual pain during your entire cycle and / or severe pain during your period.
- Chronic abdominal pain.
- Bladder problems or intestinal complaints such as cramps, constipation, pain during urination.
- Pain during and after sex.
- Infertility or reduced fertility.
Endometriosis can only be determined with a viewing operation. It can then immediately be examined how serious the disease is. If you do not want to have a child, the treatment will initially consist of medication.
For example, NSAIDs often work well against the pain. These are painkillers such as Ibuprofen, diclofenac or naproxen. Take this medication only in consultation with your doctor.
If painkillers do not help you can get hormone treatment or you will be prescribed contraception. Both have the purpose to stop menstruation or reduce the production of the uterine lining. For example, the hormone progestogen has this effect. Because your menstruation and your cycle is shut down you can not become pregnant. In principle, the women are therefore brought into transition.
Can you become pregnant with endometriosis?
Endometriosis can certainly affect fertility. In many women with fertility problems, endometriosis is the cause. It can happen that you did not suffer from complaints at all, but can not get pregnant. In many cases, the disease is also only discovered when women try to have children. Midwifery practices nowadays also have preconception consultations in which these kinds of issues can be discussed about becoming pregnant with endometriosis.
Why infertile in endometriosis?
Endometriosis can ensure that a pregnancy does not occur in various ways. For example, because the endometriose hearths attach themselves to the ovaries, so the egg cell can not let go. In that case, you do not have ovulation. It can also cause adhesions in the fallopian tubes, blocking access. Yet there is hope for women to become pregnant with endometriosis.
Endometriosis and becoming pregnant
Getting pregnant with endometriosis is possible, but it requires treatment. It may be that by means of an operation the pieces where the endometriosis sites are attached are removed. For women who have larger adhesions an open belly operation is required. The operations are pretty intense anyway and can take 4 to 6 hours. The recovery can also be pretty disappointing.
In addition, the endometriosis can just come back when you menstruate again. An operation is therefore primarily a temporary solution to restore fertility and to alleviate the pain.
Another method to become pregnant with endometriosis is through IVF, ICSI or IUI. These methods have a reasonable chance of success.
Endometriosis during pregnancy
Endometriosis is a disease that is very much related to your period. At the time of your period you can get the symptoms. For that reason, a number of treatments are aimed at stopping your menstrual cycle.
To date, there is something known about endometriosis, but not very much. For example, the exact cause of the disease is not entirely clear. More research is needed for this. In 2002, 4 women who had a severe form of endometriosis set up a foundation. The Endometriosis foundation. This foundation is strong for every woman who suffers from the disease.
Women can go there for questions, advice or to tell their story. Keep in mind that the ladies you contact do not have a medical background. Therefore, always contact a GP or gynecologist if you suspect that you are suffering from the disease.
The goal of the foundation is to ask for more attention for the disease. More attention means more recognition and hopefully more research. They also want to provide information for every woman and young lady with endometriosis. You can find much more information on the website.
Do you suspect that you are suffering from endometriosis? Or that you or your daughter are in the starting phase? Then do the endometriosis test here and see if you suffer from multiple symptoms. Have you answered more than 3 symptoms with 'yes'? Then ask your doctor if he or she can put you in contact with a gynecologist who understands this disease.