Favorable course of pregnancy with endometriosis. Is it possible to get pregnant with endometriosis Endometriosis chances of getting pregnant

It’s wonderful if pregnancy occurs at the moment when both spouses wished for it! But, unfortunately, there are situations in which a woman, after unsuccessful attempts to conceive a baby, hears from a doctor a diagnosis - you have endometriosis!

But for 44% of women suffering from infertility, this diagnosis comes first! And how to continue to live with this? How to win and enjoy motherhood? Why does this diagnosis interfere with the pregnancy process?

What is this – endometriosis?

This is a pathological process in which the tissue of the uterine mucosa (endometrium) for certain reasons begins to grow in places that are not typical for it. The endometrium should normally be located only in the uterine cavity and be rejected monthly under the influence of hormones in the form of secretions, but if there is an excess of the hormone estrogen in a woman’s body, this process is disrupted and metastasizes hematogenously or lymphogenously, the endometrium spreads to organs unusual for it, causing cyclical discomfort and complaints.

Scientists consider endometriosis as a benign tumor, comparing it with cancer, since endometrioid heterotopias also metastasize, penetrating deep into the tissue (invasive growth), disrupt the quality of life, in addition to the fact that they do not have an atypical structure.

It is customary to distinguish by localization - genital and extragenital endometriosis. In the first case, the process affects the woman’s genital organs (uterus, tubes, ovaries, cervix, external genitalia). And in the second case, it spreads to other organs (intestines, navel, postoperative suture).

Causes contributing to the development of endometriosis

Until now, scientists have not precisely established the cause of endometriosis. But more often it affects women who have undergone intrauterine medical operations (curettage, abortion, cesarean section), after which such patients developed endometriosis of the uterus (adenomyosis).

There is even a theory according to which in the embryonic period all organs of the body develop from three tissues of different structure, and from one of them, regardless of gender, endometriotic tissue develops. This is why there are known cases of endometriosis (not the uterus, of course) in men and girls who have never had a period before!

But still, the main role in the occurrence of endometriosis belongs to disturbances in hormonal balance and decreased immunity. Thus, endometriosis occurs more often in women of reproductive age and less often in menopause (when hormone levels physiologically decrease).

And during pregnancy, the disease “dieses down” and stabilizes. Therefore, looking ahead, the main goal of treatment will be to achieve a decrease in estrogen levels by introducing artificial menopause or increasing progesterone levels (which is observed during normal pregnancy).

Endometriosis of the uterine body (adenomyosis)

Depending on the depth of myometrial damage, the following stages of endometriosis are distinguished:

Invasion of endometrium to myometrium
Invasion to mid-thickness of myometrium
Invasion to the serous layer of the uterus
Germination to the peritoneum

Main symptoms

Painful menstruation comes to the fore. Complaints are more pronounced when endometrioid heterotopias affect the uterine isthmus and sacrouterine ligaments, and the pain can radiate to the rectum area. After the end of menstruation, the pain goes away.
A few days before and after the onset of menstruation, spotting brown discharge (“chocolate”) appears. Menstruation can be long and heavy.
Pain may occur during sexual intercourse, which significantly affects the quality of life of partners.
Due to heavy regular blood loss, there may be a decrease in hemoglobin and, as a result, anemia.
And, of course, the worst thing is infertility.

Diagnosis of adenomyosis

Examination, collection of medical history and complaints
Ultrasound examination (transvaginal) in the second phase of the menstrual cycle.
Hysteroscopy (an optical instrument used to examine the uterine cavity) followed by biopsy and histological confirmation.

Cervical endometriosis

The causes of the development of endometriosis are presented below, and all of them contribute to the penetration of the endometrium into the tissue through the injured cervical mucosa.

Gynecological invasive interventions
Diathermo treatment of cervical erosive processes
Traumatic damage to the cervix due to postpartum injuries or scar changes after curettage of the uterine cavity and cervical canal

Diagnosis of cervical endometriosis

Inspection (using a colposcope or cervicoscope) or visually using gynecological speculum
Complaints of “chocolate” discharge from the genital tract the day before or after menstruation or sexual intercourse
Histological confirmation of endometriosis after separate diagnostic curettage of the mucous membrane of the uterine cavity and cervical canal

Ovarian endometriosis and endometrioma (endometrioid cyst)

Endometrioid heterotopias are located in the ovarian tissue and look like cysts, the diameter of which can be from 5 mm to several cm, filled with brown (“chocolate”) contents. When several small such cysts are connected to each other in the thickness of the ovarian tissue, then we are talking about an endometrioid cyst (endometrioma). Pathological heterotopias penetrate into the ovarian tissue by hematogenous, lymphogenous route.

Clinically, such a cyst may not manifest itself in any way, but may make itself felt on the eve or after menstruation, after physical activity or sexual intercourse, in the form of aching pain. Often such cysts are involved in the adhesive process in the pelvis.

Diagnosis of ovarian endometriosis

Anamnesis collection, complaints, examination (often not diagnosed by palpation, since the size does not exceed the limits of healthy ovarian tissue). But endometriomas can be detected by palpation, since they are enlarged in size (can be up to 15 cm) and are located on both sides behind the uterus and are painful to the touch.
Ultrasound examination visualizes small endometrioid cysts in the form of hypoechoic inclusions in the ovarian tissue. Endometrioma is defined as a round formation with an echo-positive capsule and a fine suspension against the background of fluid inside the cyst on both sides of the uterus.
Laparoscopy has the greatest value in diagnosing endometrioma. With its help, you can see bluish or “chocolate” colored endometriosis cysts in the ovarian tissue.

With retrocervical and vaginal endometriosis, complaints of pain on the eve or during menstruation, during bowel movements and during sexual intercourse come to the fore. And with endometriosis of the fallopian tubes, the most important and unpleasant complication is the adhesive process in the fallopian tubes, leading to infertility.

Endometriosis and pregnancy

Very often, these concepts are incompatible, but do not be discouraged; with proper treatment, and most importantly, with timely prescribed treatment, this terrible diagnosis, at first glance, can be treated.

It cannot be said that the consequence of endometriosis is infertility, but pregnancy with endometriosis is still possible, and most importantly, when it occurs, the pathological process regresses due to the hormonal suppression of estrogens by progesterones - pregnancy hormones.

And yet, if pregnancy occurs against the background of endometriosis, there is a possible threat of its termination, since it initially occurred on an altered hormonal background, so here the doctor may recommend additional use of hormonal drugs (progesterone).

As mentioned above, it is necessary to use suppression of estrogen hormones, which are elevated in this pathology, in the treatment of endometriotic heterotopias. And also to prevent possible consequences, such as pain, adhesive disease and infertility, conservatively and possibly surgically.

Hormonal therapy includes one of the following regimens:

Oral contraceptives
Progestogens (progesterone)
Antigonadotropins
Gonadotropin-releasing hormone agonists
Antiestrogens
Androgens

Immunostimulants are also used, since above we discussed the causes of endometriosis, and one of the theories was immune.

To treat pain, non-steroidal anti-inflammatory drugs, analgesics and antispasmodics are used.

If anemia is present, use iron supplements. If it is still not possible to cure endometriosis using a conservative method, they resort to surgical treatment using laparoscopy or hysteroscopy, removing endometriotic heterotopias and then prescribing hormones. The success of treatment depends on timely surgery and selected hormonal therapy.

As always, I do not recommend self-medication, since you have already seen that in this case this can lead to disastrous results and advanced forms of endometriosis, and as a result, terrible pain syndromes and the inability to have children.

Hirudotherapy (treatment with leeches)
The use of phytomedicines based on indole and epigallate
Antihomotoxic therapy (Heel drugs)

And yet, despite the fact that endometriosis has not been sufficiently studied and remains a medical mystery, successful approaches to its treatment have been found. And with a timely visit to a doctor, a woman can be saved from many unpleasant syndromes of this disease, including infertility. Take care of your health and yourself!

Endometriosis is the most common and unexplained gynecological disease in modern times.

Tissue located inside the uterus can grow beyond its limits in various organs of the woman's body. This tissue is called endometrium, hence the name of the disease - endometriosis.

This disease is quite common - it is found in every 10th woman aged 25 to 44 years. The rate at which endometriosis develops depends on hormones. Quite often, such a disease, if not cured in time, leads to irreparable consequences - infertility.

Most often, endometriosis affects the ovaries: the affected areas appear as dark brown (or even blue) spots or blood-filled blisters.
Less common is endometriosis affecting the cervix, the outer surface of the uterine body and the ligament that fixes the uterus to the walls of the pelvis, intestines, kidneys, bladder and urethra.
There are cases that endometriosis can develop on postoperative scars (after cesarean section), in the navel area, even in the chest cavity.
Of all the affected areas, damage to the muscular walls of the uterus can be distinguished, which is classified as a special form of endometriosis - adenomyosis.

Cause of endometriosis

It is not always possible to understand why endometriosis appears. But still, some reasons have been identified by scientists:

Hormonal imbalances. With endometriosis, the majority have high levels of luteinizing hormone (LH) and follicle-stimulating hormone (FSH), prolactin, and low levels of progesterone. A malfunction is detected in the functioning of the adrenal cortex.
Hereditary predisposition. Some experts even distinguish the type of endometriosis – familial.
Malfunctions of the immune system. If the immune system works properly, then the endometrium, leaving the uterus, dies. And vice versa: if the body is weakened, the endometrium not only survives in other places, but also continues to grow.
The neuroendocrine system is not working properly. This can be caused by regular stress, poor diet, sexually transmitted infections, somatic diseases, and malfunction of the thyroid gland.

When making this diagnosis, it is necessary, if possible, to identify the causes of its development in order to correctly determine the treatment.

Doctors have identified a number of factors that influence the appearance and development of endometriosis:

as with cancer, the younger the woman, the faster the disease develops and the endometrium grows;
abortions and curettage;
previous operations in the pelvic area (caesarean section);
bad ecology;
anemia, lack of iron in the body;
excess weight;
long-term use of an intrauterine device;
liver dysfunction;
inflammation in the female part.

Symptoms of endometriosis

In the first and second stages, symptoms of endometriosis may not appear at all. Therefore, it is diagnosed only during a gynecological examination. If symptoms are felt, they will be as follows:

dysmenorrhea. In the secretory fluid, the content of prostaglandins—stimulants of contracting action—increases;
premenstrual and postmenstrual pain;
dyspareunia (unbearable pain during sex);
bleeding between periods;
prolonged and heavy menstruation with maintained regularity;
diagnosis of infertility;
pain when going to the toilet;
White fluid may leak from the chest.

During the menstrual period, all symptoms worsen, because... in the process, the area affected by endometriosis increases.

The earlier endometriosis is detected, the better the doctors’ prognosis and the better the chances of treatment. In the later stages, endometriosis is very difficult to treat, most often leading to removal of the uterus.

Examination and tests for endometriosis

The disease is difficult to diagnose in the early stages due to the small manifestation of its symptoms, which do not yet give rise to a reason to consult a doctor on your own. But there are cases that even during an examination, endometriosis may go unnoticed, so you need to carefully listen to your body and, during the examination, share all suspicions with a specialist.

There are several methods that detect endometriosis:

Ultrasound of the uterus and ovaries. Ultrasound is prescribed on the eve of menstruation. If different cysts are detected, the doctor prescribes an additional clarifying ultrasound.
Sample CA-125. With its help, a marker is identified that is specific to the affected cells.
Laparoscopy. Helps identify more serious problems in the body with endometriosis, such as bowel cancer, calcified mesothelioma and metastatic ovarian carcinoma.
Magnetic resonance imaging.
Biopsy (always present, since endometriosis can develop into a malignant tumor).
Hysteroscopy. It is done according to the doctor’s indications, if adenomyosis is suspected, it requires surgical intervention in order to perform a visual examination of the uterine cavity.
Colposcopy. Specialists examine the cervix using a colposcope.
Metrosalpingography (carried out in an X-ray room; by injecting contrast agents into the woman’s body, an initial image is taken, and after 20 minutes a repeat examination is taken).

Treatment of endometriosis

Endometriosis is treated with therapeutic and surgical methods. The choice of treatment depends greatly on the degree of development of the disease. In the first and second stages, you can be cured without surgery.

Therapeutic method for treating endometriosis

All medications prescribed for endometriosis are hormonal. Treatment can take years. As a result, normalization of the functioning of affected organs, as well as prevention of the spread of the disease. But such medications have their own contraindications for use.
Anti-inflammatory drugs.
Desensitizing drugs.
Sedatives.

Among these drugs, medications containing levonorgestrel are prescribed; drugs with antigestagenic effects; antigonadotropic drugs; GnRH agonists; drugs with antiestrogenic activity; androgens; anabolic steroid.

Surgical technique for treating endometriosis

In modern medicine, there are several surgical methods, which are divided into conservative (only the affected area is removed, the organs are preserved) and radical (removal of the affected organs or the uterus in general). A combined method is also often used.

Gentle methods include:

laparoscopy (microsurgical intervention: a very small incision of 0.5-1.5 cm is made, areas of endometrial accumulation are cauterized with a laser);
laparotomy (the surgeon cuts the abdominal wall; prescribed if there are complications with endometriosis).

After removal of the endometrium, physiotherapy and a course of medications are prescribed to consolidate the result.

The choice of treatment method is influenced by the woman’s age, stage of the disease, previous pregnancies or their absence, the affected organ, symptoms and their severity.

When determining the treatment method, the doctor is primarily guided by the following goals:

relief from pain;
cessation of proliferation, inflammatory processes;
maintaining the ability to conceive and bear a child.

Experts consider a combination of therapeutic and surgical techniques to be an effective treatment.

Folk remedies for treating endometriosis

You can also rely on the folk method, but it should not be considered equivalent to the official method carried out by specialists, only as a supplement to the main treatment.

Acupuncture.
Hirudotherapy (reducing swelling and pain using leeches).
Physiotherapy (radon baths, electrophoresis, magnetic therapy).
Herbal medicine (for example, tincture from boron uterus: 2 tablespoons of the plant, 0.5 liters of vodka, taken 3 times a day before meals, 30 drops. Decoctions of herbs such as serpentine root, shepherd's purse, cinquefoil, calamus root, nettle , knotweed, cinquefoil, viburnum).

Diet for endometriosis

In addition to treatment, the doctor prescribes a diet for endometriosis (especially if the woman is pregnant).

There should be at least five meals a day, in small portions, and at least 1.5 liters of fluid consumed per day.

fresh fruits and vegetables, which are considered antioxidants;
sardines, mackerel, salmon, nuts, flaxseed oil (increased content of unsaturated acids in natural fats);
zucchini, carrots, beets, apples, brown rice (high cellulose content);
green peas, celery, pumpkin and sunflower seeds, garlic (plant sterols);
broccoli and cauliflower (activate liver enzymes);
lean poultry varieties;
uncrushed cereals (oatmeal, rice, buckwheat, pearl barley), wholemeal bread;
low-fat dairy products (especially low-fat cottage cheese);
lemons, oranges, strawberries, red peppers, rosehip decoction (high content of vitamin C).

Prevention of endometriosis

Regular examinations with a gynecologist.
Consult a doctor promptly if any symptoms occur.
Treat all infectious and chronic diseases in a timely manner.
Take seriously the issue of protection from sexually transmitted diseases.
Carefully follow personal hygiene.

Treatment of endometriosis during pregnancy

There are people who claim that endometriosis can be cured through pregnancy. In part, this statement is true, since this period has a beneficial effect on the condition of the uterus (the production of hormones, which contributed to the development of endometriosis, stops).

But still, doctors do not recommend treating endometriosis with pregnancy, since almost all the improvements that occur are temporary until ovulation occurs. Therefore, this method of treatment cannot be counted on or relied upon.

Planning pregnancy with endometriosis

Endometriosis has a very high risk of miscarriage, so when planning your pregnancy, think carefully about whether you should wait and heal first before conceiving.

After complete treatment and recovery, pregnancy can occur within 0.5-1 year in 15-55% of women. If this does not happen, then you will need to go to the doctor again for additional examination.

Doctors allow the patient to become pregnant if she is no longer taking hormonal medications. If pregnancy has not occurred within a year, then experts first recommend conception through an IVF program. Foci of endometriosis stop increasing and can sharply decrease in size not only during pregnancy, but also after, until the end of breastfeeding.

Endometriosis during pregnancy

The first question many people ask is: is pregnancy even possible with endometriosis?

According to statistics, 60% of those diagnosed with endometriosis can easily become pregnant, and only 40% are diagnosed with infertility. This means that with endometriosis, pregnancy is possible, but you will have to face very serious obstacles (disturbed ovarian structure, low patency of the fallopian tubes) and undergo professional treatment. Age is very important in this case; pregnancy with such a diagnosis is best planned no later than 30 years.

With endometriosis during pregnancy, there is a high risk of miscarriage, so pregnant women are under special supervision by an obstetrician-gynecologist from the first weeks of pregnancy and take special medications that can prevent miscarriage. The most important thing for any expectant mother is that endometriosis cannot affect the development of the child.

Before 8 weeks of pregnancy, your doctor may temporarily prescribe hormonal medications.

How does endometriosis affect pregnancy?

Experts are still not sure how endometriosis itself affects pregnancy. During pregnancy, the patient’s treatment is not canceled, but must be adjusted to minimize the risk to the child.

The risk of ectopic pregnancy is greatly increased, so even in the early stages, doctors prescribe an ultrasound and, according to its indications, remove the fertilized egg.
There is a high probability of miscarriage, especially at the beginning of pregnancy.
With hormonal imbalances, the tone of the uterus may increase, which can also lead to irreparable consequences.
Thinner walls of the uterus suggest the possibility of their rupture during the development of the child. These patients spend their entire pregnancy in a hospital under the special supervision of doctors.
The cervix loses its elasticity, so a cesarean section is often prescribed to resolve the birth.

It is worth noting that pregnancy with a diagnosis of endometriosis occurs very rarely and only with treatment. In addition, if the formation of an endometriotic cyst (formation from accumulations of endometriotic tissue) has already occurred, then pregnancy will definitely not occur until they are removed.

What is the danger of endometriosis, is it possible to get pregnant and give birth to a healthy baby if this pathology develops.

Endometriosis is a pathological growth of the endometrium in the uterine cavity. This pathology is quite dangerous because without proper and timely therapy it begins to progress quite quickly and ultimately damages the ovaries, fallopian tubes and even the urinary tract.

In view of this, if you notice that your periods have become more abundant and painful or you have problems with urination, then be sure to consult a gynecologist. If you do not do this, then as the disease progresses, your chances of conceiving and bearing a healthy baby will decrease.

How and why does endometriosis prevent you from getting pregnant?

Consequences of endometriosis

Endometriosis is a rather insidious disease, which in the shortest possible time leads to the fact that a woman’s reproductive system begins to function not quite as it should. As a rule, at the initial stage, problems begin in the uterus. Due to the fact that the endometrium begins to grow at a faster pace than necessary, thickening of the walls occurs, which in turn prevents the fertilized egg from settling in the uterine cavity in time.

If she fails to do this, a natural process of fading occurs and after some time the woman begins to menstruate. If endometriosis affects not only the uterus, but, for example, the fallopian tubes, then against this background the woman begins to experience inflammatory processes that lead to the appearance of adhesions that interfere with the movement of the egg into the uterine cavity.

As practice shows, with this development of events, the probability of conception is reduced to almost zero or occurs in the fallopian tubes. Also, the cause of problems with conception may be damage to the ovaries by endometriosis. In this case, the disease will block the ovulation process and, as a result, the egg will either stop forming altogether or will not leave the follicle.

Is it possible to get pregnant with endometriosis of the uterus, what are the chances?

Pregnancy with endometriosis

As you probably already understood, endometriosis is one of those pathologies that greatly complicate the process of conception. But what’s even more unpleasant is that this disease most often leads to the development of infertility in women and girls of childbearing age. But still, this information should not frighten you very much, even if the doctor gave you a similar diagnosis, you still have a chance to conceive and bear a healthy baby.

It’s just that in this case, you will first need to undergo certain treatment, and only after all pathological processes have been stopped will it be possible to plan a pregnancy. As a rule, if the disease is in the very initial stage, the sick woman is prescribed so-called conservative therapy, which includes taking immunomodulators, as well as hormonal and anti-inflammatory drugs.

If the endometrium has grown to such an extent that it is impossible to normalize the condition of the uterine cavity using a conservative method, then the patient has the affected areas removed using laparoscopic surgery. As practice shows, if the patient strictly adheres to all the doctor’s recommendations, then conception occurs approximately 2-4 months after the end of the recovery period.

Endometriosis of the right or left ovary: is it possible to get pregnant, what are the chances?

Ovarian endometriosis

If endometriosis affects the ovaries, then against this background processes are quickly launched that interfere with the normal maturation of the egg, significantly reducing its quality. As a result of all these changes, pregnancy cannot occur due to the fact that ovulation simply does not occur in the woman’s body. But of course, in this case there is a way out of the situation.

If a woman undergoes a course of medical therapy, she will most likely be able to conceive a child naturally in the shortest possible time. As a rule, in this case, doctors try to treat it conservatively, and resort to surgery only as a last resort. Most often, patients are prescribed hormonal therapy, which stimulates the normal growth and development of eggs.

But still remember that ovarian endometriosis may begin to develop again during pregnancy, and against the background of pregnancy, all pathological processes will occur at an even faster pace than before. In view of this, it will be better if you tell your gynecologist about the most minimal changes occurring in your body.

Is it possible to get pregnant with cervical endometriosis?

Cervical endometriosis

Cervical endometriosis can also cause infertility in women of childbearing age. If the endometrium affects this particular part of the female reproductive system, it thereby creates a barrier that prevents the egg from penetrating into the uterine cavity. If the sperm are very tenacious, then fertilization can occur in the fallopian tubes, leading to the development of an ectopic pregnancy, which can develop up to a maximum of 7 weeks.

After this, the tube ruptures and the woman begins to bleed, which can only be stopped by surgery. But still, in this case, you can count on the fact that your diagnosis will allow you to conceive and bear a baby. All you have to do for this is just undergo the right course of treatment. What it will be like can only be decided by a specialist after the most thorough research.

In view of this, if you suspect that you are developing cervical endometriosis, then do not self-medicate, but contact a gynecologist and try to solve the problem with his help.

Is it possible to get pregnant after peritoneal endometriosis?

Peritoneal endometriosis

Endometriosis of the abdominal cavity, like all the above-mentioned varieties of this pathology, can cause infertility. Since in this case, in addition to the uterus, ovaries and appendages, all nearby organs are also affected, all this quite significantly impairs the proper functioning of the body.

Against this background, disruptions appear that have a negative impact directly on the process of maturation of the egg, as well as on the speed of its movement through the fallopian tubes. In view of this, if the problems that provoked this pathology are not eliminated, then conception is unlikely to occur. And even if it does happen, the pregnancy will be very problematic, which can lead to the fact that during intrauterine development the child will also develop pathologies of organs and systems.

Is it possible to get pregnant with chronic endometriosis or stage 1 endometriosis and bear a healthy child?

Pregnancy with chronic endometriosis

I would like to say right away that chronic endometriosis is the main cause of infertility in women and girls. If such a pathology becomes chronic, then it has the most negative impact on the reproductive system. This means that representatives of the fair sex may exhibit symptoms characteristic of endometriosis of the uterus, endometriosis of the ovaries, and endometriosis of the abdominal cavity.

In view of all this, such a patient may experience tubal obstruction, lack of ovulation, and very severe inflammation of the walls of the uterus. It is clear that if all these problems are present, there is no need to talk about pregnancy. Therefore, if you have been diagnosed with chronic endometriosis, first minimize the manifestations of the disease and only then plan a pregnancy. If it occurs before the start of therapy, then there is a possibility that the woman may have problems carrying the baby.

Will Duphaston help you get pregnant with endometriosis?

Duphaston for endometriosis

As you probably already understood, endometriosis is not a death sentence, and with proper therapy, a woman can quite easily become pregnant and carry a baby to term. As a rule, if the disease is in the very initial stage, a positive effect can be achieved with tableted hormonal drugs. That is why patients with this diagnosis are often prescribed Duphaston. This medicine literally from the first days begins to block the growth of the endometrium, thereby helping the disease at least stop progressing.

After the growth of pathological foci of the endometrium is suppressed, Duphaston begins to have a positive effect on the ovaries. It helps them produce their own progesterone, which is needed to maintain the function of the corpus luteum. If the patient takes the drug strictly following the regimen and dosage selected by the doctor, then after about 2-3 months the reproductive system begins to work correctly and she has a chance for a normal pregnancy.

But remember, this drug is not a panacea and, if endometriosis has already entered the chronic stage, it is likely that its use will need to be combined with more drastic procedures. In this case, the treatment process may take 4-6 months.

Is it possible to get pregnant with endometriosis through IVF?

IVF for endometriosis

Until recently, it was believed that IVF for endometriosis was strictly prohibited, as it could cause ovarian rupture. But at the moment, clinics have begun to appear that still undertake this procedure, just before performing it they try to at least establish the correct functioning of the ovaries and stop the pathological growth of the endometrium.

If this is not done, then it is unlikely that it will be possible to extract a high-quality egg from the ovaries and grow a healthy embryo from it. In addition, without proper correction, the implanted embryo will not be able to attach to the walls of the uterus. In view of all that has been said, we can conclude that IVF for endometriosis is possible only after the patient has completed a course of treatment and her condition is at least a little closer to normal.

Laparoscopy for endometriosis and the possibility of getting pregnant

Laparoscopy for endometriosis

Modern doctors quite often prescribe laparoscopy to their patients, because due to the fact that this surgical intervention is performed with minimal trauma to organs and tissues, the recovery period is reduced significantly. This means that literally after 2-3 months a woman has the opportunity to become pregnant naturally and, most importantly, to carry a child to term without any problems.

True, such an outcome is only possible if the disease was at the very initial stage of development. If endometriosis has affected absolutely all organs responsible for childbirth, then after the operation the patient will have to take hormonal medications for about six months. In this case, you will not be able to plan a pregnancy until you stop taking the medications.

How can you get pregnant with adhesions and endometriosis?

Adhesions in endometriosis

If you carefully read our article, you probably realized that one of the reasons for the development of infertility with endometriosis is the appearance of adhesions in the fallopian tubes and on the cervix. In principle, they themselves do not cause any discomfort, but if you do not try to get rid of them, then the woman will develop obstruction of the tubes and, as a result, intrauterine pregnancy will not occur. Adequate treatment selected by a qualified specialist will help you get rid of this unpleasant problem.

As a rule, if the pathology responds well to conservative treatment, then the woman is prescribed hormonal medications. Their use is combined with fibrinolytic agents, which promote the resorption of adhesions. If such treatment does not produce results, then a surgical operation is performed, during which normal patency of the fallopian tubes is restored.

How to cure endometriosis and get pregnant: folk remedies

Folk remedies for endometriosis

If for some personal reasons you are not ready to take hormonal medications or undergo laparoscopy, you can always try to get rid of endometriosis using folk remedies. As practice shows, if you choose the right dosage and take the decoction or tincture regularly, the therapeutic effect becomes noticeable after approximately 2 months.

But remember, traditional medicine is not able to cope with chronic endometriosis, so in this case you will still have to combine home remedies with traditional treatment methods.

So:

Calendula. You can prepare decoctions from this plant and take them in courses (3 times a day for 1 month). If you want to enhance the therapeutic effect, you can soak tampons in the broth and insert them into the vagina. It is advisable to do this procedure every day.
Red brush. You can prepare an alcohol tincture from this plant and take it 50 drops 3 times a day with clean water. If you wish, you can also add boron uterus to this herb.
Boiled onion. Ordinary onions must be peeled and boiled in milk until completely softened. After it becomes as soft as possible, take it out of the milk, rub it thoroughly and soak the tampon with the resulting pulp. We insert it into the vagina and leave it for 2 maximum 3 hours.

How to get pregnant quickly with endometriosis of the uterus and ovary?

Propolis for endometriosis

As you already understand, in order to get pregnant with endometriosis, you first need to stop the excessive growth of the endometrium. This can be done with the help of propolis. Based on it, you can prepare decoctions, tinctures, suppositories and compresses and use all this in combination, thereby maximizing the process of restoration of the reproductive organs. However, remember, in order for such a medicine to have the desired effect on your body, it must be prepared from the highest quality products.

Therefore, if possible, try to buy honey and propolis either at a pharmacy or directly from the manufacturers. You can also treat endometriosis at home with beetroot juice. To achieve a therapeutic effect, it will need to be taken in courses 3 times a day for 3 weeks. At one time you will need to drink 70 g of freshly squeezed juice.

Endometriosis and pregnancy planning

Planning pregnancy with endometriosis

Endometriosis is a factor there that significantly increases the risk of miscarriage, and this can happen even at quite a long time. For this reason, it will be better if, before conception occurs, you try to establish the proper functioning of the organs that are responsible for the ripening of the egg and the development of the embryo. And, of course, remember that you cannot plan to conceive immediately after treatment.

Since in most cases this pathology is treated with hormonal drugs, the body needs some time to recover. In view of this, it will be better if you try to get pregnant only after your menstrual cycle has been restored and the pain syndrome has completely disappeared. In general, qualified specialists advise their patients to plan pregnancy no earlier than 5-6 months after the end of treatment therapy.

Visanne and Janine for endometriosis

Visanne and Janine are drugs that are often used in the drug treatment of endometriosis. These drugs are used to suppress the growth of the endometrium, as a result of which its thickness in affected areas is reduced to a minimum, which allows the fertilized egg to easily implant in the uterine cavity. In addition, these drugs delay the release of the egg for some time, thereby making it possible to get rid of cysts that have formed on the ovaries without much damage to the female reproductive system.

After the pathological processes are stopped, Vizinna and Janine will help the woman restore her normal cycle in the shortest possible time and this will facilitate conception. Of course, these drugs cannot be taken together, so before making a choice, consider how soon you plan to become pregnant. If you want conception to occur as quickly as possible, then consider treatment with Visanne. In this case, pregnancy may occur during treatment.

Is it possible to get pregnant with endometriosis: reviews

Endometriosis: reviews

Irina: When I found out that I have endometriosis, I was very upset. Since my friend had already encountered this problem, I knew for sure that I would not be able to conceive a child quickly. But having calmed down a little, I went to my gynecologist again to find out if there was a chance that I could get pregnant in the near future. To my surprise, the doctor did not scare me, but simply suggested that I undergo conservative treatment under her strict supervision.

After passing all the tests, I started taking hormonal and anti-inflammatory drugs according to a certain regimen. After about a month, I realized that my pain began to decrease. Having completed the full course, I did a re-examination. It showed that the pathological growth of the endometrium stopped and all inflamed areas returned to normal. Now I’m waiting for my body to recover a little and I’ll try to get pregnant.

Milana: At first I tried to fight endometriosis with folk remedies. For some time they improved my condition (the pain disappeared and my periods came on time), but pregnancy did not occur. Therefore, having a little doubt, I finally turned to a specialist for help. After the examination, he said that I have chronic endometriosis, which has already caused obstruction of the fallopian tubes.

And since the pathology continued to progress, he suggested that I remove the foci of endometriosis and adhesions surgically, and then correct the functioning of the ovaries using hormonal agents. After passing all the tests, I had surgery and started taking medications. After three months, my condition completely stabilized, and after another two months, a home test showed two cherished lines.

Video: How to get pregnant if you have endometriosis? Endometriosis and infertility

No woman is immune from pathology of the reproductive organs. Diseases of the reproductive system inevitably lead to problems with conception.

Endometriosis is considered a common gynecological disease that causes infertility. It complicates the course of the pregnancy and threatens its termination. According to doctors, the disease affects about 30% of women.

How to protect yourself from pathology? How to get pregnant with her and successfully carry a child? Read the answers to these questions in a new article.

What is endometriosis

With the disease, endometrioid tissue grows outside the uterus, affecting other organs. The presence of these cells in other organs and tissues gives rise to painful phenomena, including dangerous ones. During the menstrual cycle, the tissue goes through absolutely all changes, just like the endometrium. Gradually it affects surrounding organs.

The disease occurs in 2 out of 20 women of reproductive age. The development of endometriosis depends on hormonal levels. If symptoms are ignored, the disease often leads to infertility.

When the pathology affects the genitals, it is called genital.

This form has several types:

internal - damage to the muscular layer of the uterus;
peritoneal - proliferation of endometrial tissue into the fallopian tubes, ovaries and pelvic peritoneum;
extraperitoneal - the appearance of pathology in the external organs of the reproductive system, the vaginal part of the cervix and the retrovaginal septum.

If the disease is severely advanced, endometrioid lesions become diffuse. In this case, pregnancy is highly doubtful.

To make a diagnosis, a specialist performs an ultrasound.

The gravid endometrium, ready for conception, should be loose and three-layered. This structure ensures implantation of the fertilized egg and its subsequent development.

The doctor also evaluates the thickness of the endometrium. Normally it should be 8-10 mm.

If the uterine mucosa is thin, they speak of hypoplasia. Usually its size does not exceed 6-7 mm. If it is lush and thick, the specialist suspects hyperplasia or polyps.

Some women are sure that hyperplasia of the uterine mucosa and endometriosis are the same thing. In fact, these are different concepts. Their main difference is that in the first case, the pathology affects the organ at the morphological level. With endometriosis, changes occur in the uterus itself, not in the cells.

To make a correct diagnosis, laboratory diagnostics are performed. The doctor performs a core biopsy and examines the material under a microscope.

Causes and symptoms of the disease

It is not always possible to determine why the disease appeared. Experts identify the suspected causes of the disease.

These include:

1) Endocrine imbalance

In women, increased concentrations of luteinizing and follicle-stimulating hormones and prolactin are determined. There is a decrease in progesterone levels. Quite often, dysfunction of the adrenal cortex occurs.

2) Genetic predisposition

There is a separate type of illness - familial.

During normal functioning of the body's defenses, endometrioid tissue is destroyed if it extends beyond the uterus. When they are weakened, pathological foci survive in other organs and grow, since immune cells do not recognize foreign ones.

3) Malfunction of the neuroendocrine system

Constant stress, poor nutrition, the development of sexually transmitted infections or somatic diseases can lead to the onset of endometriosis.

4) Exit of endometrial cells outside the uterine cavity.

During menstruation, they are thrown into other genital organs along with bloody discharge.

Eliminating provoking factors will help avoid the disease.

These include:

age of the woman (more often found in patients over 40 years old than in younger ones);
C-section;
frequent abortions (vacuum aspiration and curettage procedures);
anemia;
overweight;
long-term use of an intrauterine device;
liver diseases;
chronic inflammation of the genital organs (sluggish endometritis, adnexitis);
environmental factors - poor ecology.

Severity of endometriosis:

Degree	What does it look like	How it manifests itself	Is it possible to get pregnant
1	Superficial single small foci of proliferation of endometrioid tissue form on the genitals	There are no obvious signs of pathology, the menstrual cycle is not disrupted, before menstruation a mild pain appears in the lower abdomen	If a woman does not use contraception, conception occurs without any problems
2	Pathological foci penetrate deep into the uterine wall and become multiple	In the premenstrual period (3-5 days before menstruation), there is pain in the lower abdomen, a pulling feeling in the lumbar region, the pain is most intense on the first day of the cycle: then there is relief, heavy bleeding during menstruation, shortening of the cycle	Pregnancy is possible in three cases: absence of lesions in at least 1 of the ovaries; patency of the fallopian tube; minor damage to the uterine wall
3	Multiple deep lesions are formed. Multiple endometriotic cysts appear in the ovaries	Heavy blood loss and a long cycle, spotting between periods, intense pain in the lower abdomen and perineum, worsening before menstruation, development of iron deficiency anemia, nausea and vomiting, slight increase in body temperature	Possible after treatment. However, the risk of miscarriage is high
4	Deep multiple areas of proliferation of endometrioid tissue are formed, dense adhesions with large cysts appear on the ovaries, lesions can penetrate into the vaginal wall or rectum	Intensification of all symptoms characteristic of the third degree	Most often impossible: infertility develops

The disease impairs women's fertility, which can cause them to have trouble conceiving. Usually the cause is the growth of pathological tissue in the ovaries.

Ovulation does not occur in the affected organ: the egg is not able to mature and leave the follicle. However, if one ovary continues to function normally and the fallopian tube is patent, conception is possible.

Another obstacle to pregnancy is severe damage to the myometrium by endometriotic lesions. When the zygote reaches the uterus, it cannot attach to the uterine wall.

If the growth is grade 1–2, implantation will most likely occur. However, in case of severe damage, the woman is prescribed medicinal or surgical treatment to increase the chances of normal pregnancy.

With endometriosis, hormonal imbalance develops. It provokes the growth of pathological tissue.

Despite all the difficulties caused by endometriosis, the disease does not mean that pregnancy is impossible or contraindicated. When the disease occurs, gynecologists even advise the patient to conceive a child. It is noted that for those who became pregnant, the course of the disease improved.

The expectant mother is in a state of prolonged anovulation with absence of menstruation. At this time, the female body is under the influence of progesterone. This condition provokes the reverse development of pathological foci.

If you are concerned about whether the disease is affecting your baby, we hasten to reassure you. It has no direct effect on the fetus.

However, the disease often becomes a threat to its gestation. If the uterine wall is severely affected by growths, in the early stages pregnancy often ends with detachment of the fertilized egg - a miscarriage. Sometimes the child stops developing: a frozen pregnancy occurs.

Women suffering from the disease may experience complications (fetoplacental insufficiency). Due to pathology, the functioning of the placenta is disrupted. The baby does not receive normal nutrients from oxygen.

The disease is also dangerous due to the development of uterine bleeding. It is very abundant, and the woman quickly loses blood. The condition threatens not only the fetus, but also the life of the expectant mother.

To prevent tragedy, visit a gynecologist at the stage of planning a child. At this time, you will have to undergo preconception preparation. With the onset of gestation, doctors perform the prevention of miscarriage and fetoplacental insufficiency.

How to treat it

If you have been diagnosed, don't panic. Although the disease cannot be completely cured, its progression can be controlled.

To do this, you need to choose the right therapy. It will eliminate unpleasant consequences and allow you to live a full life.

Methods used to combat endometriosis:

Drug therapy: taking hormonal drugs, painkillers, drugs for anemia. Endometriosis, like polyps of the uterine mucosa, is treated with medication: hormone-containing medications are taken. Duphaston, Utrozhestan help to enlarge and build up the endometrium and have a beneficial effect on the course of pregnancy during illness. At the stage of planning a child, oral contraceptives are prescribed (Yarina, Zhanine). They reduce the production of LH and FSH, suppressing ovulation. Due to the lack of hormonal supply, the disease regresses and prepares for pregnancy.
Electrocoagulation- cauterization of endometriotic areas of growth with current.
Ablation- destruction of pathological foci by cryodestruction and radiomicrowaves.
Physiotherapeutic treatment: magnetic therapy, laser and hydrotherapy, balneotherapy. It is carried out as an integrated approach for hormonal or postoperative treatment.
Surgical intervention: laparoscopic removal of pathological lesions or excision of areas of growth with a scalpel.
Traditional methods.

Herbs help build up the endometrium and eliminate the disease (sage, red brush). Some women use Chinese tampons. They help normalize vaginal microflora and treat chronic gynecological diseases.

Features of childbirth with endometriosis

When pathology develops, doctors use a special approach to delivery. During the passage of the child through the birth canal, uterine bleeding is sometimes provoked.

To protect the expectant mother from a life-threatening condition several days before the expected birth, specialists perform an ultrasound on the woman. Such a study makes it possible to assess the condition of the uterus and placenta.

Often, obstetricians and gynecologists perform a cesarean section on a woman in labor. Such an intervention eliminates the development of severe complications. During the operation, doctors prevent the aspiration of endometrioid cells into the patient’s abdominal cavity.

Preventive measures

Scientists have not identified reliable causes of the disease. It turns out that there is no effective prevention. However, this does not mean at all that you need to give up and do nothing.

List of measures to follow:

Come regularly for gynecological examinations.
To promptly treat not only “female-specific” diseases, but also general ones.
Monitor your weight and follow a diet to avoid high levels.
Avoid sexual intercourse during menstruation.
Do not use the intrauterine device for a long time. It is better to use other means of contraception - COCs, mini-pills, hormonal patches.
Eliminate abortions. To do this, prevent the development of unwanted pregnancy.

In the following video, the doctor explains in detail whether it is possible to bear a child with the disease:

Conclusion

Endometriosis is a serious disease that often causes infertility. However, do not think that its development is a death sentence for a woman.

The compatibility of the disease with pregnancy depends on the course and aggressiveness of the pathological process. Usually, with grade 1-2, the expectant mother carries the child normally, but with one condition: this entire period must proceed under the close attention of a doctor. Do not try to treat the disease yourself.

If you want to have a child, be responsible in your preparation. Depending on the severity of the process, the doctor will prescribe suitable therapy. When the egg matures and is subsequently fertilized, you have a high chance of carrying and giving birth to a healthy baby.