How does endometriosis affect fertility? Truth is, it depends on whether the endometriosis is in the form of an endometrioma, which is in the ovary, or whether it’s generalized within the pelvic cavity.
Both ways, can negatively impact the quality of the egg, causing inflammation in the pelvic region that is not ideal. Certainly, endometriosis causes pain and painful intercourse. If growing in the fallopian tubes, then it’s also going to be a problem for getting the sperm to get into the egg, creating a barrier in the fertilization process. Endometriosis can also impact implantation.
Some women have endometriosis and have no symptoms and other women have very mild endometriosis yet because of where the adhesions are forming, they have a lot of symptoms. It’s a bit tricky to know exactly who may or may not have endometriosis as the signs and symptoms are varied.
There’s four gradings of endometriosis. Grade IV is obviously the most severe, anything from grade II to grade IV is going to moderately to severely impact the ability to conceive and keep a healthy pregnancy to term.
How do you address or reverse the situation?
The reality is that like fibroids, you are not necessarily able to reverse what is created with natural treatment alone. Once we’ve got a handle on all the different minor factors that may be getting in the way, then we may recommend surgery depending on the severity of the condition.
In our practice, our approach the situation is to ensure couples do all that they can to optimize the other aspects of their health and fertility in order to decrease the exacerbation of the endometriosis. One of the best ways to learn about what we do and the changes you can make to boost your fertility is to participate in the free Fertility Challenge.
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