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Endometriosis
Causes of Infertility in Endometriosis
Endometriosis is a common gynecological disease that severely troubles women's daily lives. Besides causing painful menstruation, endometriosis is also a common cause of infertility. The reasons for infertility caused by endometriosis include the following aspects: First, endometriosis often leads to the formation of chocolate cysts on the ovaries, which can affect ovarian function and cause impaired ovarian function. Second, endometriosis can sometimes affect the function of the fallopian tubes, causing adhesions in the fallopian tubes. This may result in difficulties in egg pickup, preventing the sperm and egg from meeting and forming a fertilized egg in the fallopian tubes, leading to infertility.
Consequences of Endometriosis
The consequences of endometriosis primarily include abnormal menstruation and infertility, with about 50% of those affected experiencing infertility. The reasons for this stem from the abnormal pelvic structures caused by endometriosis, as well as extensive adhesions of the fallopian tubes and ovaries, and abnormal motility of the fallopian tubes, all of which lead to reduced functions in transporting sperm and eggs. Furthermore, changes in the microenvironment within the pelvis also lead to infertility. Abnormal menstruation is mainly characterized by an increased amount of menstrual flow and prolonged menstrual periods, which can easily lead to anemia in patients.
Can endometriosis be cured?
The treatment of endometriosis should be determined based on the individual's specific circumstances. Complete cure typically requires the removal of both ovaries. As long as the ovaries are present, there generally is no talk of a complete cure; treatment can only control the condition. It is possible to surgically remove lesions and use medication to reduce the likelihood of recurrence. The specific treatment for endometriosis should be determined based on factors such as age, whether there is a desire for children, and specific symptoms like painful periods and bleeding conditions.
Does endometriosis cause infertility?
Endometriosis is a common cause of infertility, primarily due to the ectopic implantation of endometrial tissue in the pelvic cavity or other locations. Endometriosis leads to infertility mainly because it affects ovarian function, such as causing ovulatory disorders. Additionally, endometriosis can cause pelvic adhesions, affecting the function of the fallopian tubes, such as their ability to pick up eggs. Women with infertility should be checked for endometriosis, and if confirmed, surgical or medicinal treatments can be considered to improve the condition and potentially increase the chances of conception. Therefore, endometriosis is a cause of infertility, and careful examination for endometriosis should be conducted in patients with infertility.
Does endometriosis fear tiredness?
Firstly, when endometrial displacement occurs, the endometrial glandular tissue and stroma appear outside the uterine body, this condition is called endometriosis, also known as adenomyosis. Endometriosis can affect any part of the body, including the bladder, kidneys, ureters, mammary glands, thighs, etc., with the most common sites being the uterus, ovaries, and vagina. The primary manifestations of endometriosis include lower abdominal pain and painful menstruation, followed by infertility and pain after sexual intercourse, generally deep dyspareunia. In the presence of endometriosis, these symptoms suggest the need to avoid overexertion and spicy foods in daily life. Once endometriosis occurs, timely treatment is necessary.
Endometriosis symptoms
When women suffer from endometriosis, the typical symptom is progressively worsening dysmenorrhea. What is progressively worsening dysmenorrhea? It is mainly because the ectopic endometrial tissue also becomes congested, swollen, and sheds each month during menstruation, causing the ectopic lesions to gradually enlarge, thus making the dysmenorrhea increasingly painful. Some women may have ovarian endometriomas or ectopic endometrial lesions in the posterior cul-de-sac of the vagina, which can also cause severe pain during intercourse. Ovarian endometriomas can also affect the normal ovulation of the ovaries, leading to menstrual cycle disorders, such as irregular menstruation or increased menstrual flow, among other phenomena. Endometriosis can also alter the pelvic environment, leading to difficulties in conception for women.
What to do about dysmenorrhea caused by endometriosis?
There are two types of dysmenorrhea, primary dysmenorrhea and secondary dysmenorrhea. An important cause of secondary dysmenorrhea is endometriosis. The dysmenorrhea caused by endometriosis comes from specific diseases, and the interventions include the following aspects: First, symptomatic treatment should be conducted first, which means using pain relief medication to alleviate the pain. In clinical practice, various pain relief medications can be used for dysmenorrhea caused by endometriosis. Second, treatment should be aimed at the cause of the dysmenorrhea. Treatment for endometriosis currently includes both medicinal and surgical approaches. If surgical treatment is chosen, it can involve the removal of ectopic cysts or pelvic ectopic cysts, among other conditions; if medicinal treatment is chosen, methods such as pseudopregnancy or artificial menopause can be used.
Can endometriosis lead to pregnancy?
Endometriosis can lead to pregnancy, but about 50% of those affected may not conceive. This is because the disease can cause abnormal anatomical structures in the female pelvic, leading to extensive adhesions around the fallopian tubes, thus affecting the movement of the tubes. This, in turn, impairs their function in transporting the fertilized egg. Therefore, for patients wishing to conceive, it is advisable to monitor follicular development with an ultrasound and have intercourse during the ovulation period, which could increase the chances of pregnancy.