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Should you be concerned about your fertility if you have endometriosis?

The answer is that endometriosis may cause infertility issues.

However, this does not imply that you should abandon all hope. 

You can still try to conceive with the proper treatment.

Dr. Hrishikesh Pai, who provides among the leading IVF treatments from Mumbai, has discussed everything you need to know about endometriosis.

What is Endometriosis?

Menstruation and bleeding are caused by the endometrium, which is the uterine lining.

The tissue can sometimes grow outside of the uterus, in places where it shouldn’t, such as the ovaries and intestines. 

Women develop endometriosis as a result of this.

Types of endometriosis and fertility

There are three main types of endometriosis: 

  • Superficial peritoneal 
  • Endometriomas
  • Deeply infiltrating

These classifications describe the location of endometriosis patches on a person’s body.

One or more types can exist in a person.

Endometriosis is also divided into stages by medical professionals. 

They range in severity from I to IV. I being the least severe and IV the most powerful.

Superficial peritoneal

The peritoneum is a thin film that covers the inside of the abdomen. 

When a person has a peritoneal lesion, the peritoneum may have growths or cysts.

Doctors usually classify surface peritoneal lesions as stage I or II endometriosis.

The superficial peritoneal lesion is the least severe form of endometriosis. Still, some women may have difficulty conceiving.


Endometriomas are cysts that develop on the surface of the ovaries or within them. 

Chocolate cysts are dark, fluid-filled sacs that doctors refer to as such.

Endometrioma is usually associated with stage III or IV endometriosis. 

They may develop scar tissue on the fallopian tubes and ovaries due to this.

Endometriomas can significantly impact a person’s fertility. It is because they damage ovarian tissue and cause ovulation problems.

Deeply infiltrating

In profoundly infiltrating endometriosis, endometrial-like tissue develops on organs close to the uterus, such as: 

  • Bladder
  • The vagina
  • Bowel

It is the most severe form of the illness.

A person’s growth or lesions extend 5mm below the peritoneum. This is why specialists often classify intensely infiltrating endometriosis as stage IV.

An individual with stage IV endometriosis may have vast scarring in:

  • The ovaries
  • Uterus 
  • Rectum in complement to Endometriomas

According to Dr. Hrishikesh Pai, an expert IVF specialist from Mumbai, if a person has had previous cyst removal surgeries, they may have lost many eggs.

While a person may not conceive naturally at this point, they may conceive through IVF treatment.

Endometriosis symptoms

The following signs and symptoms can help you determine whether or not you have endometriosis:

  • Abdominal and pelvic pain during menstruation (dysmenorrhea) and sex
  • Excessive bleeding
  • During bowel movements or urination, you may experience discomfort (especially during periods)
  • During periods, you may experience fatigue, diarrhea, or constipation.

Excessive pain isn’t always a good indicator of endometriosis, as some people with advanced endometriosis don’t have any.

In many cases, women are completely unaware of any signs or symptoms. Laparoscopy is a simple way to detect endometriosis.

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Is endometriosis a cause of infertility?

It cannot be easy to conceive if you have endometriosis. Endometriosis can result in a variety of fertility problems.

It can, for example, affect the fallopian tubes and ovaries. The egg will not travel to the uterus if tissue growth in the fallopian tube lining exists, resulting in infertility.

Endometriosis can also: 

  • Alter the hormonal environment of the eggs
  • Cause sperm and egg damage
  • Cause inflammation in the pelvic structures
  • Alter immune system function

Your doctor may even assign you a score based on the severity of the problem during the diagnosis process.

Endometriosis is classified into four stages by laparoscopy: Stage I (minor), Stage II (mild), Stage III (moderate), and Stage IV (severe) (Severe).

Because their ovaries are damaged, and their fallopian tubes are blocked by tissue overgrowth, women with stage IV endometriosis have a higher rate of infertility.

Getting pregnant while suffering from endometriosis

Women with stage I and stage II endometriosis may not require infertility treatment because they can conceive independently.

If you have moderate or severe endometriosis, surgery may be beneficial.

When scar or cysts tissues are surgically extracted, the possibilities of becoming pregnant increase because the reproductive organs begin to function normally.

If you’ve been diagnosed with endometriosis, that doesn’t mean you shouldn’t try to start a family.

Before consulting a fertility specialist, you and your mate should have unprotected sex for at least 6-7 months.

Your fertility expert will recommend the best treatment for you according to your current health status, the severity of the issue, and other contributing factors.

The following are some of the treatments that may be used:

  • Egg-freezing – Because endometriosis can damage the ovaries, your doctor may advise you to freeze your eggs so that you can conceive later.
  • Clomiphene- Clomiphene, a fertility drug, increases the chances of pregnancy by causing two or three mature eggs to be produced.
  • In vitro fertilization (IVF) – IVF is a fertility treatment that involves retrieving a woman’s eggs and fertilizing them with the male partner’s sperm. The embryo is implanted in the uterus.

IVF can help many people with endometriosis become pregnant, especially if the condition is severe.

According to Dr. Hrishikesh Pai, an excellent Infertility specialist from Mumbai, You can have a healthy pregnancy and give birth to a healthy child if you get the proper treatment. 

You don’t have to give up hope if you’ve been diagnosed with endometriosis because several treatment options are available.