Endometriosis

Endometriosis is a condition in females in which endometrial tissue (the lining of the uterus) spreads outside the uterus and can implant on the ovaries and other pelvic organs. Endometriosis may result in adhesions, certain endocrine or ovulatory abnormalities and impaired implantation, all of which may be associated with infertility.

Endometriosis is relatively common.

Endometriosis is found in about 35% of infertile women who have no other diagnosable infertility problem.[1] Women with endometriosis may experience symptoms such as painful cramps during menstruation, painful intercourse, or heavy periods. On the other hand, some women experience few or no symptoms other than having difficulty conceiving.

Treatment with surgery or drug therapy.

The treatment of endometriosis depends upon its severity. In some cases, the healthcare provider may recommend treatment with medication before attempting surgery.

Depending on the severity of the endometriosis and symptoms, your healthcare provider may recommend surgery to remove the endometriosis. The treatment may involve laparoscopy, in which an incision is made in the lower part of the abdomen and a laparoscope is used to examine the pelvic cavity. Then, using microsurgery or laser surgery, the endometriosis is removed.

In some cases, the healthcare provider may use other medications in conjunction with surgery to improve the changes of conception. In situations where a woman fails to respond to medication and/or surgery, the healthcare provider may suggest that she try more advanced treatments.