Endometriosis and pregnancy: you can become a mother even with this pathology
Endometriosis and pregnancy is no longer an irreconcilable combination. This uterine pathology can cause difficulties but it does not make conception impossible and above all it does not preclude the use of other methods of fertilization. In fact, endometriosis is a disease that reduces a woman's fertility level: find out how to easily calculate the fertile days and increase your chances of conceiving a baby. Watch the video we have selected for you!
Endometriosis: meaning and symptoms
Endometriosis is a pathology in which there is the presence of endometrial tissue in other organs. That is, endometriosis, when the mucous layer that covers the innermost parts of the uterus, ie the endometrium, moves from this site to migrate to other areas, such as ovaries, fallopian tubes, spaces between rectum and bladder. During menstruation, some of the blood can go up through the fallopian tubes into the abdomen; it is quite common, but in some women the blood "fixes", giving rise to endometriosis, probably due to predisposition factors to inflammation and immune deficiencies. You realize you are suffering from endometriosis if you perform an ultrasound through the vagina as a routine examination, but usually it is the pain that pushes women to undergo medical checks. It can be severe menstrual pain (secondary dysmenorrhea), not previously felt, chronic pelvic pain independent of menstruation or pain in penetration during sexual intercourse. You can also have blood loss in the urine or feces, if the endometrial tissue reaches the bladder and rectum. One way to relieve the symptoms of the disease is to do yoga, stretching, take pain relievers, eat foods rich in fiber to improve intestinal problems, try with the boule, but not directly placed on the lower abdomen. If this phenomenon, in addition to creating adhesions, clogs the tubes, it can cause infertility.
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A difficult diagnosis
The disease mainly concerns women in Western countries, where many couples stop at the first child and in any case procreate at a later age than in the past and compared to other geographical areas. Diet can also be a cause. There are foods that affect the hormones of the body of women. In addition to pain, problems at work, discomfort, stress and depression, the disease also carries the risk of infertility or reproductive difficulties. For this reason, in addition to affecting the woman's body, it also affects her psychic well-being, often creating problems within the couple. When the doctor diagnoses this pathology for many women it becomes a real nightmare, which causes them to fall into panic and into a An attitude of painful frustration. But the gynecologist can partly reassure them, stating that even if the chances of a pregnancy are lower than a subject not afflicted by this problem, 50% of patients manage to get pregnant in a natural way. the disease itself does not cause sterility, but a lot depends on the age of the woman. So, if the diagnosis is early, you should not delay the time to try a pregnancy. You can become a mother even if you suffer from endometriosis.
This is true and to reiterate it, obviously in a realistic way and with facts. it also serves not to discourage women who want motherhood so much. Endometriosis involves severe pain and at the same time the fear of not being able to procreate. In fact, it can reduce fertility, damaging the oocytes, making it more difficult for the embryo to implant in the uterus and generating adhesions that can clog the tubes. It is a very common disease, about three million women in ours suffer from it. country and unfortunately almost half are faced with the problem of infertility, but it should not be considered a definitive impediment to maternity.However, it should be borne in mind that there are also greater risks of eclampsia, premature birth and caesarean than other women in labor.
Therapies and surgical interventions
Endometriosis can be tackled with medical therapies, which act on pain, with surgery or assisted fertilization. If the pains are very severe and the birth control pill and progestogens do not work as they should, surgery becomes essential. You shouldn't do more than two at the most, as surgery becomes more and more difficult later on. In addition, it is important if a woman wants to get pregnant, to keep the ovaries intact as much as possible. In fact, after the interventions there is a risk that the patient may enter premature menopause. In the treatment of endometriosis the ovary should be paused, blocking menstruation and ovulation with the contraceptive pill. The birth control pill can prevent the birth of other cysts, which form with ovulation. You can also opt for the cryopreservation of oocytes in private institutions for assisted procreation. Egg freezing is best avoided if the woman is in her 40s. If there is the possibility and if the woman desires motherhood, pregnancy would be the best cure for this pathology, as it would represent a natural way to stop ovulation.If we consider the hypothesis of a pregnancy, the first thing to examine is the state of the fallopian tubes, in order to know if the woman has a certain chance of getting pregnant naturally. Of course, a liquid analysis would also be useful. seminal examination of the partner, a "hysterosalpingography, that is an X-ray examination with iodized contrast, or a sonosalpingography, that is an" ultrasound with physiological solution and air. If the woman already has to undergo surgery for her endometriosis, the observation of the state can be done through laparoscopy, making three incisions on the abdomen to introduce the laparoscope, in order to have a direct view of the state of the pelvic organs and endometrial tissue implants. During an operation it is possible to assess whether the tubes are open, that is, if they allow passage and are not obstructed, but also open them, so as to favor the possibility of spontaneous fertilization. pregnancy and breastfeeding and therefore a good rest of the ovaries, endometriosis usually no longer occurs.
If it recurs, the contraceptive pill can be used, perhaps waiting to plan another pregnancy. Obviously the chances of a pregnancy compared to a woman without endometriosis are lower, but if there are no ovarian cysts that are too large and if the fallopian tubes are functional, without injuries and without adhesions with nearby organs, there are good conditions for a pregnancy. If despite this and even after an operation to remove any thickening and wounds, it is not possible to conceive in a natural way, it will be necessary to think about assisted fertilization. If the result of this technique is positive and the woman becomes pregnant, the risk of hypertension problems for the mother and the possibility of having to undergo a caesarean section should also be kept in mind. The most commonly used medically assisted procreation technique is in vitro fertilization with transfer to the uterus; it is minimally invasive and effective in the greatest number of cases. For this type of fertilization, first of all, the gonads are stimulated with gonadotropins, so that the ovaries produce more oocytes, so as to be able to have more embryos. In a second moment, oocytes are collected with a simple intervention, through a needle inserted into the vagina with a probe for monitoring. All this lasts about a quarter of an hour, sometimes with a slight vaginal bleeding and small twinges. About 5 days after "in vitro" fertilization with the partner's spermatozoa, the oocytes are placed in the uterus with a syringe. The success of this method depends very much on the age of the woman and the response of her body.
