Is it possible to get pregnant with uterine endometriosis: is it possible to conceive and how the pregnancy proceeds in this case. Endometriosis and pregnancy - planning features (how to prepare) After endometriosis treatment, you can get pregnant

Alas, many women face difficulties in conceiving. A special place among gynecological diseases that cause infertility is occupied by endometriosis, a disease that affects 35% of the female population of the planet. Many patients are interested in the question - is it possible to get pregnant with endometriosis or not? We will try to answer it and figure out why this disease occurs.

Endometriosis is a disease that occurs in women of childbearing age who have reached the age of 20. It can be genital (localized in the uterus and fallopian tubes) and extragenital (foci of the disease are concentrated in other organs). Also, both forms of the disease can be combined and present in a woman at the same time.

Normally, the endometrium lining the inner surface of the uterus is shed during menstruation and comes out with the secretions. But its smallest particles migrate with this disease, penetrating into the muscular layer of the uterus or “travel” through the lymphatic system, settling on other internal organs.

In these places, the endometrial tissue grows, swells and begins to bleed synchronously with. The blood cannot come out and, as a result, intense pain occurs, adhesions form.

Types of endometriosis

There is a single classification of endometriosis, which is built in accordance with the location of the pathological process. There are such forms of endometriosis:

• Genital. The place of localization of the pathological process is the internal genital organs of a woman.
• Extragenital. With this form, the pathological process is localized outside the organs of the reproductive system.

The genital form of the disease is divided into the following types:

• extraperitoneal. This type of pathology is characterized by location in the vagina, in the vulva, in the rectovaginal septum and the vaginal part of the cervix.
• peritoneal. The area affected by endometriosis is the fallopian tubes, ovaries and the pelvic part of the peritoneum.
• Interior. With this type of disease, the pathological process develops in the muscular layer of the uterus (myometrium).

With a running pathological process, foci of endometriosis may have a mixed localization. With mixed localization, internal endometriosis of the uterus and pregnancy are incompatible.

Degrees of the disease

Depending on the intensity of the pathological process, there are 4 degrees of severity of the disease:

1. It is characterized by the formation of superficial and single foci of endometriosis.
2. Pathological foci spread deep into the uterine wall and become multiple.
3. In the third degree of the disease, the formation of multiple and deep foci of tissue growth is observed. Multiple cysts may appear on the ovaries.
4. It is characterized by the formation of deep and multiple foci of endometriosis. Dense adhesions and large endometrioid cysts form on the ovaries. Pathological tissue can grow into the wall of the rectum and vagina.

Due to endometriosis, adhesions often develop, leading to infertility. Chronic and pregnancy can be combined only with a small degree of severity of the process.

Causes of the disease

There is no generally accepted point of view about the cause of the disease. According to most gynecologists, the disease manifests itself under the influence of immune, hereditary and hormonal factors.

The likelihood of endometriosis increases if a woman's life has taken place:

• frequent inflammatory processes of the genital organs;
• transferred;
• operations on the uterus;
• alcohol dependence and smoking;
• excessive consumption of products containing caffeine;
• disruptions in the functioning of the endocrine system;
• weakening of the immune system.

Symptoms of endometriosis

The manifestation of the disease and whether it is possible to become pregnant with endometriosis depends on the prevalence of the process and its neglect. At an early stage, of all the signs, only premenstrual pain, spotting bleeding and minor deviations in the cycle may be present.

In the future, among the most common symptoms noted:

• pain accompanying sexual intercourse;
• menstrual disorders,;
• very painful periods;
• prolonged and profuse bleeding between periods;
• pain during urination and defecation;
• the appearance of blood in the urine.

Prolonged infertility, especially in combination with other manifestations, is also an indirect sign of endometriosis. Ultrasound can confirm the diagnosis 2-3 days before the onset of menstruation, sometimes a diagnostic operation is required.

Consequences of endometriosis

Without treatment, the disease progresses and can worsen, leading to:

• Adhesions in the pelvis, causing severe pain during menstruation. Their presence often leads to infertility. In addition, they interfere with a woman's normal intimate life, making sexual intercourse painful.
• Posthemorrhagic anemia in a chronic form. The monthly menstrual flow becomes profuse, leading to excessive blood loss.
• Oncological neoplasms. Growing, endometroid cells can transform into malignant tumors.
• Neurological disorders resulting from infringement of nerve endings. As a result, this can provoke paresis, paralysis of the legs.

Does endometriosis always lead to infertility?

If I have been diagnosed with endometriosis, can I get pregnant?

This disease does not provoke one hundred percent infertility, but simply reduces the chances of conceiving a child.

In this situation, it often becomes a hindrance. In the affected organs, the maturation of follicles does not occur, there is no ovulation. But if at least one ovary functions normally and the fallopian tube leading to it is passable, the chances of fertilization remain.

The next obstacle is the defeat of the muscular layer of the uterus. As a result, the egg, after fusion with the sperm, cannot attach and develop normally. At the initial stage of the disease, there is a chance that will happen.

In difficult cases, medical or surgical treatment is required, after which the chances of having a baby increase. It must be understood that although a woman can become pregnant with endometriosis, she needs the help of specialists during the period of bearing a child in order to avoid miscarriage.

Treatment Methods

How to get pregnant with endometriosis of the uterus or ovaries? The solution to the problem depends on the degree of development of the disease, the age of the patient and her hormonal background. First, diagnostics is carried out - ultrasound, laboratory tests, if necessary, and hysterography.

For treatment, conservative or surgical approaches are used, sometimes they are combined to achieve the optimal result. Some women can get pregnant with endometriosis after taking hormones, others require surgery:

• Medical therapy consists in taking drugs containing hormones for 3-6 months. During this period, an artificial menopause occurs, leading to a regression of the disease. After the end of hormone treatment, the menstrual cycle resumes. A relapse is possible, but during the period of remission there is a chance to become pregnant.
• Surgical intervention involves laparoscopic surgery under general anesthesia. The adhesions are dissected, and the endometroid formations are removed. Tissue samples are removed for laboratory testing to confirm the diagnosis and exclude the possibility of cancer.

Pregnancy after endometriosis

Among treated women, 60% become pregnant within 6 to 13 weeks.
Therefore, to the patient’s question: “Is it possible to get pregnant with uterine endometriosis?” doctors answer in the affirmative, specifying that every woman's chances of conceiving are different.

Female infertility is a pathology due to various reasons, and most often these are hormonal disorders. One of the consequences of an imbalance of hormones is the growth of the inner layer of the uterus - a disease called endometriosis. What is the danger of his appearance?

Many are wondering “how to get pregnant with endometriosis”, because according to statistics, it takes 3rd place among the causes of infertility. The fact is that it is very difficult to diagnose in the early stages, while there is a chance to get rid of it.

Signs of endometriosis are rather vague and common to all gynecological ailments:

• menstrual irregularities;
• spotting between cycles;
• prolonged periods;
• soreness and discomfort before and during the cycle, which sometimes develop into severe pain;
• unpleasant sensations of fullness, heaviness when standing, pressure in the lower abdomen, in the rectal area, frequent urination;
• back pain during menstruation.

Symptoms resemble any of the gynecological pathologies. Therefore, most often, having gone to the gynecologist, we return with a different diagnosis, since one examination by a gynecologist is not enough to determine the initial stages of endometriosis - a diagnostic hardware and laboratory examination is necessary.

If you have endometriosis, is it possible to get pregnant? Endometriosis is a disease that is difficult to treat, constantly recurring, and can bring a lot of trouble to the hostess. In the early stages, it is not a hindrance to conception, but a neglected disease may well become a cause for infertility. Carrying with endometriosis is fraught with premature pregnancy or the threat of interruption. Therefore, it is corrected by special hormonal therapy.

endometriosis

A disease under this name is nothing more than a hormonally provoked increase in the inner layer of the uterus, which is normally completely rejected and removed from the cavity along with menstruation.

With endometriosis, rejection occurs unevenly, in place of the remaining cells, a focus is formed that can grow into the myometrium. Multiple foci cause adenomyosis of the uterus, the main symptoms of which are:

• violation of the elasticity of the walls;
• increase in size;
• soreness.

The possibility of getting pregnant with endometriosis of this form is greatly reduced.

Cavitary endometriosis is a foci of endometrial cells, which, being fixed on any organ, are able to actively multiply and migrate, provoking the appearance of new foci of the disease. In addition, cysts can grow into the cavity of any organ and tissue, causing serious damage. Endometriosis in the vagina eventually becomes an obstacle to conception.

A functional feature of such cells is the performance of their "duties" outside the uterus: they live according to the laws of the cycle, causing inflammation, adhesive disease, irritation of tissues and nerve endings by rejection of cell layers during the cycle.

Causes of pregnancy problems

And yet - is pregnancy possible with endometriosis? The appearance of the disease is due to hormonal imbalances: the balance between estrogen and progesterone is disturbed, provoking a pathological increase in the endometrium. During pregnancy, a fertilized egg is immersed in this loose layer of cells. If fertilization does not occur, the endometrial layer is excreted from the body during menstruation.

However, hormonal imbalance provokes an uneven growth of the endometrium, and even a partial reflux of cells into the body cavity, with blood flow during the cycle. There, cells that the weakened body refuses to destroy take root and form cysts and multiple foci.

Why are endometriosis and pregnancy incompatible? In the uterus with unevenly overgrown endometrium and focal cysts, it is more and more difficult for a fertilized egg to be fixed. The stronger the damage to the organ, the less chance of getting pregnant.

Another reason is the ability of cysts to germinate and bind organs and tissues - this process causes a violation of the patency of the fallopian tubes and the appearance of endometrial ovarian cysts. With endometriosis, you can become pregnant if the patency of the fallopian tubes has not undergone serious changes.

The third cause of infertility can be an imbalance of hormones, which causes disturbances in the cycle, ovulation, maturation of the corpus luteum, and a pathological increase in the endometrium.

How to diagnose a disease

During a routine examination by a gynecologist, a diagnosis of endometriosis can only be established if the disease has caused damage to the uterus and vagina. On physical examination, painful nodules are found, and with adenomyosis of the uterus, a significant increase in the organ. Doctors do not always give a confident answer to the question of whether it is possible to get pregnant with uterine endometriosis. Pregnancy with uterine endometriosis is greatly complicated, it is possible only after a course of treatment, and in order to prescribe it, you need to confirm the diagnosis.

For this, the following methods and methods are used:

• colposcopy;
• hysteroscopy;
• CT, MRI, ultrasound;
• laboratory tests for tumor markers;
• laparoscopy.

Laparoscopic examination is a unique diagnostic method - it can be used to detect endometrial lesions in the uterine cavity and at the same time take a biopsy for laboratory testing.

All other methods are quite effective in diagnosing endometriosis, but often they have to be used in combination. Diagnosis of endometriosis in the early stages is a chance to get rid of the disease once and for all. Therefore, be more careful and persistent with the choice of examination method.

fight and seek

Traditional medicine offers only two options for solving the problem:

• the appointment of hormonal drugs - with their help they try to cause a condition similar to menopause. Thus, it is possible to prevent relapses of endometriosis, further seeding of the uterine cavity and body, and cause the regression of the glandular epithelium. This method, unfortunately, is very unpleasant for the female body with its consequences, because the "hormonal storm" greatly affects the hormonal background and the woman's health. In addition, he does not give any guarantee that after the withdrawal of drugs, endometriosis will not begin to recur;
• surgical removal of cysts and foci of seeding by laparoscopic or other method. To date, this is the only way that is guaranteed to get rid of endometriosis. It is usually prescribed in combination with hormone therapy, physiotherapy, and other methods.

The third way can be folk remedies, which are used to treat uterine and initial endometriosis, as well as herbs, it is possible to stimulate ovulation before pregnancy.

After laparoscopy and hormonal therapy, the chances of becoming pregnant increase many times over: 80% of women who treated the disease on time successfully conceived and endured pregnancy. During gestation, double attention of the expectant mother and doctors is necessary, since sometimes the pregnancy is difficult and the threat of failure remains, in which case, drug support for gestation is carried out.

Where can I find useful information

Illness is not a sentence. It is worth making sure of this yourself by finding any forum on the Internet where mothers with such a diagnosis, who have safely carried and given birth to children, share their own experience. The question is often asked here: “Endometriosis, is it possible to get pregnant with such a disease?” - and receive concrete answers to it.

The forum for young mothers is an excellent information field where they will help you find out: who got pregnant with endometriosis, is it possible to bear a child with endometriosis, what treatment is needed during pregnancy, which folk method to choose in combination with traditional methods to stimulate ovulation.

The forum will help with recipes for the most effective herbs. Try to focus only on positive reviews. Often hormonal preparations are recommended at such sites, however, only an experienced specialist can diagnose and recommend the selection of funds, according to the results of laparoscopy. By the way, any city forum for young mothers will help you decide on the choice of a good specialist and the venue for the procedure.

The forum can become not only your psychological support in difficult times, but also a way to find the right recipes, remedies, methods of struggle and prevention, sometimes completely fantastic, but, surprisingly, effective!

Bibliography

1. Arterial hypertension in pregnant women. Is it just gestosis? Guide for doctors. Makarov O.V. 2006 Publisher: Geotar-Media.
2. Ascending infection of the fetoplacental system. Glukhovey B.I. 2006, Publisher: MEDpress-inform.
3. Neonatology: a national guide. UMO certification for medical education. Editor: Volodin N.N. 2007 Publisher: Geotar-Media.

One of the female genital diseases is endometriosis. This is the name of the overgrowth of the endometrium (mucosa) - the tissue that normally lines the inside of the uterus.

Presumably, the pathology develops when the hormonal background and the menstrual cycle fail. Abnormal mucosa sprouts in different places - the bladder, intestines, lungs, eyes, ovaries.

During menstruation, the endometrium bleeds, but the blood remains in the tissues, presses on the nerve endings and causes bouts of sharp pain.

This disease causes infertility in half of all cases. However, pregnancy with uterine endometriosis is possible and often improves the patient's condition.

Degrees and types of endometriosis of the uterus

In medicine, there are 4 degrees of the disease:

• The endometrium grows in one or two places of the superficial layers of the uterus.
• There is one focus in deep tissues.
• Numerous lesions in the deep layers of the genital organ, minor intestinal adhesions, cysts on the ovaries.
• Large ovarian cysts appear, fusion of internal organs.

• genital- affects the reproductive system;
• extragenital- other human organs are involved in the pathological process.

Genital is divided into:

• internal (adenomyosis)- the process takes place in the uterus, affecting its deep layers;
• outer- affects the cervix, ovaries, vagina.

Although the disease has long been known, it is still not clear whether pregnancy cures endometriosis. A reliable fact is the improvement in health during the period of expectation of a child.

At this time, the cyclic fluctuations of female and male hormones (estrogen and progesterone) stop, mucous tissues remain in a stable position.

Reasons for development

The causes of the pathology are still not well understood. The growth of mucosal cells is influenced by the menstrual cycle.

At this time, there is a change in the balance of hormones.

At the beginning of the cycle, the female hormone estrogen predominates, under the influence of which the mucosal tissue grows intensively and gradually thickens.

From the second half of the cycle, the body falls under the action. Cell growth stops, blood vessels dilate.

There are some assumptions about what causes the disease to develop:

• endometrial cells penetrate into other organs along with the blood flow during operations, injuries and menstruation;
• are transformed from epithelial cells of the uterine membrane;
• the endometrium grows from germinal tissue that has not been involved;
• abnormal constriction.

Some factors contribute to the development of pathology:

• inflammatory diseases of the genitourinary system - infectious, venereal, bacterial;
• a large number of abortions;
• use of an intrauterine device;
• diseases;
• obesity;
• stressful situations;
• surgical operations on the organs of the reproductive system.

Symptoms

Before a scheduled medical examination, a woman most often does not suspect the presence of the disease. But some signs indicate a possible pathology.

• prolonged heavy menstruation;
• painful periods;
• spotting in the middle of the cycle;
• the cycle does not have a pronounced beginning and end;
• pain during intercourse;
• pain in the pelvic area, which increases before menstruation;
• pain during urination and defecation;
• pronounced PMS;
• anemia, which manifests itself in weakness, drowsiness, dizziness;
• the appearance of adhesions in the pelvic organs.

Women often feel pain in the lower back and abdomen before menstruation, which radiates to the rectum, genitals and thigh.

Severe symptoms are observed in any course of the disease.

Are endometriosis and pregnancy compatible?

Pathology adversely affects the possibility of conception, reducing the chances by half. It is reliably known why pregnancy does not occur with endometriosis.

This happens for several reasons:

• lack of ovulation - menstruation occurs at the right time, but this happens due to the rejection of pathological tissues. Ovulation does not occur because the egg cannot leave the ovary or pass through the fallopian tubes;
• with adenomyosis, the egg is fertilized, but its attachment is difficult. Often with a similar pathology, an ectopic pregnancy occurs.
• Excess female hormones estrogen and estradiol inhibit the functioning of the corpus luteum.

However, the possibility of conception remains, and depends on the individual characteristics of the organism. If the general health is good, ovulation and successful conception occur.

If a woman managed to get pregnant with endometriosis, she needs to be observed by specialists from the first days in order to avoid spontaneous interruption.

Before conception, it is necessary to undergo a medical examination, consult a gynecologist and undergo a course of treatment. In addition, the doctor will tell you how pregnancy proceeds with endometriosis in general terms and what to expect in a particular individual case.

Usually, conception eliminates the symptoms of the disease, since during this period a change in the hormonal background occurs, abnormal growth stops.

The patient's condition improves, a stable remission occurs.

Compatibility depends on the degree of the disease:

• With a retrocervical form, the possibility of conception and successful bearing are difficult.
• With genital third and fourth degrees, conception and gestation are impossible due to pathological changes in the internal organs.

Often a woman learns about the disease during pregnancy and does not know what endometriosis is. She needs to follow the doctor's recommendations and strictly follow the doctor's prescriptions. In this case, the child will be born without complications.

What is dangerous endometriosis of the uterus during pregnancy

With endometriosis, pregnancy planning is necessary. This will help to successfully become pregnant, avoid health complications and give birth to a healthy baby at term.

Possible complications:

• spontaneous miscarriage;

For a safe delivery, it may be recommended.

Diagnostics

For diagnosis, the usual methods are used:

• questioning the patient;
• visual examination of the vagina;
• internal genital organs;
• control of tumor markers;

Treatment

Since endometriosis adversely affects conception, it is indicated to undergo a course of treatment before it.

The disease cannot be cured completely, but it is quite possible to achieve a stable remission by resorting to medical help. Treated with conservative and surgical methods.

Conservative treatment is symptomatic and hormonal. Immunomodulators and anti-inflammatory drugs are prescribed.

Surgical treatment is carried out using laparoscopy. Through the smallest possible incisions, foci of pathologically overgrown tissues are removed, adhesions are removed. After laparoscopy, the chance of getting pregnant is doubled.

Therapy does not eliminate the causes of the pathology, but helps to improve health and give birth to a healthy baby.

Prevention

The main question for women is how to maintain a pregnancy with endometriosis, because all the dangers come down to one threat - to lose a child.

Preventive measures include:

• regular examinations at the gynecologist;
• observation by a doctor in the postoperative period (abortion, caesarean section);
• timely treatment of inflammatory gynecological and venereal diseases;
• refusal to use an intrauterine device.

Features of childbirth with endometriosis of the uterus

Even if the course of pregnancy with endometriosis was not disturbed in any way, childbirth in this case requires the close attention of doctors.

Possible dangers of childbirth:

• large blood loss before or during childbirth;
• - severe degree;
• reducing the chances of survival of a premature baby;
• increased likelihood of congenital pathologies of the child;
• may be required.

Is it possible to get pregnant with endometriosis of the uterus

Often, women wonder if endometriosis affects conception. Infertility is a common complication. However, about half of women of childbearing age retain the ability to conceive.

The mucous membrane, characterized by pathological changes, does not contribute to the normal implantation of the embryo.

Even if the fertilized egg manages to gain a foothold, bleeding and spontaneous miscarriage are possible in the future.

Video: Is pregnancy possible with endometriosis

Endometriosis is a leading problem in modern reproductive medicine. According to statistics, 40% of women cannot become pregnant on their own with this disease. Most often this is due to a running adhesive process in the abdominal cavity or fallopian tubes.

Early diagnosis and treatment of endometriosis is essential in pregnancy planning. Unfortunately, this pathology in most cases is diagnosed late or accidentally in the course of a woman's long and unsuccessful attempts to become pregnant. Postponing childbearing function until later after the diagnosis of endometriosis and delaying treatment can cause severe infertility and the lack of the ability to become pregnant on your own in the future. The best natural treatment for endometriosis is pregnancy itself!

Is pregnancy possible with endometriosis?

Pregnancy with endometriosis is possible, despite the unfavorable prognosis of its occurrence in this disease. More than half of the women have high chances of getting pregnant and carrying a healthy baby normally. The complexity is presented by neglected cases, burdened by the adhesive process, however, even in such situations, modern medicine helps women experience the joy of motherhood. Pregnancy is impossible only in extreme situations, when endometriosis has caused the removal of the uterus and ovaries.

In endometriosis, there is a cyclic growth of tissue similar to the endometrium of the uterus outside the uterus itself. Endometrioid areas go through all the stages of formation, like the endometrium, so on the days when it is rejected and the woman begins menstruation, endometrioid foci also bleed. Endometriosis affects young women of reproductive age from 20 to 40 years (sometimes older). Foci of endometriosis can be genital (located in the ovaries, vagina, fallopian tubes, peritoneum) and extragenital (on the surface of the intestines, eyes, lungs). Constant dyshormonal changes in areas located in atypical places lead to the formation of an adhesive process.

Theories of the origin of the disease

The causes of endometriosis are not fully understood, but there are two theories regarding its development.

According to the first theory, the cause of an endometrioid ovarian cyst or peritoneal endometriosis is a retrograde movement of menstrual blood, in which endometrial particles move and attach to another place (ovaries, peritoneum), after which they grow and form endometrioid areas. A similar problem is observed during medical manipulations (curettage of the uterus, caesarean section).

According to the second theory, endometriosis is caused by a genetic factor. Changes in this case occur in the female fetus even at the stage of intrauterine development. It is impossible to influence the genetic factor.

Causes of fertility problems with endometriosis

What causes problems with conception with endometriosis? A long-term inflammatory process in the ovaries, tubes and abdominal cavity eventually leads to the formation of adhesions - dense strands of connective tissue that prevent the movement of the egg through the internal genital tract and reduce the contractile function of the fallopian tubes.

The second reason for the inability to conceive with endometriosis is a hormonal failure, in which a lot of estrogens and little progesterone are synthesized. As a result, the endometrium of the uterus is too thin, and the fertilized egg cannot be implanted in its thickness and develop normally.

Pregnancy due to endometriosis

If a woman with endometriosis does become pregnant, she has certain risk factors, these include the following conditions:

• Ectopic pregnancy requiring emergency surgical removal of the fetal egg;
• Hormonal imbalance associated with low progesterone concentration, which can lead to miscarriage in the 1st and 2nd trimesters. To avoid this, progesterone analogues are prescribed;
• Rupture of the uterus, subject to a strong thinning of the muscle layer in the later stages. In such cases, a caesarean section is performed.
• Decreased elasticity of the cervix. For this reason, self-delivery becomes impossible, the cervix does not open, and a caesarean section becomes necessary.

A pregnant woman suffering from endometriosis should be under the supervision of a doctor throughout her pregnancy.

Diagnosis of endometriosis

Endometriosis is most often diagnosed by chance during an ultrasound scan, which reveals. Women resort to this diagnostic method after long unsuccessful attempts to get pregnant or when concomitant pathologies are detected. Genital endometriosis can symptomatically mimic classic menstruation and not manifest itself in any way. Ultrasound for the diagnosis of endometriosis is recommended for 5-7 days and 21-24 days of the cycle.

A more accurate diagnostic method that allows to identify small foci of endometriosis is laparoscopy. Using this method, it is also possible to diagnose cysts and adhesions. The method is convenient in that during its implementation, the removal of endometrioid areas and dissection of adhesions can be performed.

Additionally, a woman may be prescribed: hysteroscopy, diagnostic curettage, CT, MRI. Of great importance in the diagnosis is the identification of tumor markers in the blood, in the case of the presence of the disease, the concentration of markers responsible for endometriosis increases several times.

Principles of treatment

To date, there are two main methods of treatment of endometriosis:

• hormone;
• surgical.

During hormone therapy, with the help of a balanced intake of hormones, it is possible to normalize the function of the ovaries and form a layer of the endometrium of normal thickness, which is necessary for the implantation of a fertilized egg.

In the process of surgical treatment, large foci of endometriosis, adhesions, cysts that prevent the onset of pregnancy are removed. All these manipulations today are performed by a minimally invasive laparoscopic method. A mini-surgery is performed before a planned pregnancy, as areas of endometriosis may reappear over time. Removing the patches restores a woman's ability to conceive and bear a child. After laparoscopic surgery and before a planned pregnancy, a woman is prescribed a maintenance course of hormonal therapy.

In situations where endometriosis is not an obstacle to conception, doctors recommend pregnancy as a way to treat this disease. During pregnancy, the hormonal balance in the body changes, the synthesis of estrogen decreases, progesterone increases, which favorably affects the endometrioid foci, stops the process of their growth, and sometimes completely prevents it.

The main task in the treatment of endometriosis is to restore the patency of the fallopian tubes and preserve their integrity, without which natural conception becomes problematic. An important point is also the restoration of the full-fledged work of the ovaries (the maturation of full-fledged follicles, ovulation). In the presence of an adhesive process and massive damage to the tubes, natural pregnancy is difficult, since the sperm cannot fertilize the egg due to the closure of access to the fallopian tube. However, even in the most difficult situations, there is always a solution to the problem, for example, artificial test tube technologies (IVF).

Many women manage to become pregnant after endometriosis or against the background of this disease.

Therefore, endometriosis is not a factor in complete infertility. The onset of pregnancy needs careful medical supervision, often it has to be supported by taking hormones. But this is not an obstacle to the bearing and birth of a full-fledged baby.

Endometrioid ovarian cysts present a challenge in terms of pregnancy management. In the presence of torsion of the cyst or in case of danger of its rupture, the woman undergoes a planned operation in a safe period for the fetus - for a period of 16-20 weeks.

My story is unique. Why? Yes, because I managed to get pregnant with a whole host of problems. I was diagnosed with:, and obstruction of the fallopian tubes. In addition, I was simultaneously diagnosed with hypothyroidism and imperfect hormonal parameters.

When my husband and I got married, at first, like many young couples, we did not want to have children. But a year later they decided and began to plan a pregnancy, but it did not come. After a year of unsuccessful attempts, we went to the doctor. I underwent a comprehensive examination and at first they found an endometrioid cyst in me, and later, after laparoscopy, they revealed massive endometriosis in the abdominal cavity and a second cyst in the second ovary. It was horror.

6 months I drank and a bunch of other pills, but adhesions in the tubes, poor follicle growth and a thin layer of endometrium still prevented me from getting pregnant. Wherever I just did not turn: to grandmothers, and to healers, and to psychics. My husband and I really wanted a child, but it seemed that nothing could help us.

By this time, her husband's spermogram was not quite ideal, and this reduced the chances of getting pregnant. Then we decided on artificial insemination. After 2 failed attempts had to stop, as a malignant polyp was found in my uterine cavity, which had to be removed. Trying to get pregnant had to be postponed. All this time I was sitting on horse doses of duphaston, folic acid and other drugs.

Finally, my husband and I decided to. The first attempt was unsuccessful. My egg failed to reunite with the sperm and died in the test tube. The second attempt also failed - the doctor who had been dealing with my problem of getting pregnant all this time suddenly died. Another clinic doctor refused to remove the egg, citing the weak state of the follicle. They pumped me up with hormones and just sent me home to lie down. The most amazing thing is that after 2 weeks the test for pregnancy was positive.

And then everything was just perfect: pregnancy without toxicosis, normal development of the fetus, no "savings", easy, quick and painless childbirth. But most importantly: I gave birth to a completely healthy baby. I have been a young mother for 6 months now. I am very happy and consider the birth of my child a real miracle.

Girls and women! Never despair. For some of us, motherhood comes at a very high price, but it's worth it. A woman who has not become a mother is only half a woman, I am convinced of this!

On the entire inner surface of the uterus is a mucous membrane called the endometrium. With hormonal or menstrual disorders, genetic predisposition and other reasons, the endometrium spreads outside the uterus. This disease is called endometriosis.

It is often possible to meet the statement that endometriosis is treated with pregnancy. This is partly true, because the period of waiting for a child has a positive effect on the state of the uterus, because at this time the cyclic production of hormones stops, which led to the growth of the mucous membrane. The growth activity of the endometrium is reduced, and the size of the foci may even be reduced. But in most cases, this is a temporary phenomenon that will last until the onset of ovulation. Therefore, it is still better to neglect this method of treatment and plan conception no earlier than six months after treatment.

Termination of pregnancy is a huge stress for a woman, and with this diagnosis, its risk is very high. Therefore, draw conclusions: if you only want a child, then first get rid of endometriosis, and if you are already pregnant, then rely on the experience of specialists and follow all their instructions.

Is it possible to conceive with endometriosis?

Very many women for a long time cannot conceive a child in the presence of foci of the spread of the endometrium. Why? There are several reasons:

• Lack of ovulation. Menstruation goes on as usual, spotting is regular, but true ovulation does not occur due to impaired ovarian function or difficulties in passing the egg through the fallopian tubes. This problem usually occurs with an endometrioid ovarian cyst.
• Violations in the implantation of a fertilized egg. The diagnosis in this case is adenomyosis. In this case, miscarriage rather than infertility as such takes place, and an ectopic pregnancy can also develop.
• Violations in the endocrine system of the body. They simultaneously lead to the spread of the endometrium and cause infertility.

Do not despair! Pregnancy and endometriosis may well coexist. This will happen if ovulation, fertilization occurred, and the egg was still able to pass into the abdominal cavity and gain a foothold.

It must be remembered that termination of pregnancy can worsen the course of the disease and lead to an increase in foci. Therefore, with this diagnosis, it is necessary to carefully monitor contraception in the case when the child is not desired.

How does endometriosis affect pregnancy?

Experts believe that in this case, the likelihood of a miscarriage increases. But medicine is now at a fairly high level, so an experienced doctor can help a woman avoid abortion. Perhaps the expectant mother will have to take hormonal drugs. Do not be afraid, this is necessary for the safety of your child.

If the mucous tissue of the uterus has not spread to the placenta, then the chance to save the baby increases many times over. But in any case, you need to monitor the condition of the woman and, if necessary, prescribe treatment.

Do you have endometriosis and found out you were pregnant?

Contact your gynecologist as soon as possible to get a referral for an ultrasound. First you need to confirm the fact of uterine pregnancy. In the case of an ectopic, urgent endoscopic surgery is performed and the fetal egg is removed from the tube. An interesting point: after this intervention, adhesions are cut in the fallopian tube, and in the future the chance of becoming a mother in a woman increases. If everything is in order, then in the first trimester, treatment is usually not prescribed.

In the 2-3 trimesters, estrogens suppress the production of progesterone and there is a risk of miscarriage. Therefore, at this stage, it is necessary to take progesterone preparations to help reduce the muscular activity of the uterus.

If there is internal endometriosis, then in the last weeks there is a high risk of uterine rupture, so the woman is placed in the prenatal ward in order to make an emergency caesarean section if necessary.

Treatment

As we said above, before planning a replenishment in the family, it is necessary to cure endometriosis, especially if stage 3-4 occurs. And already in six months, or better in a year, you can begin to achieve your goal. If conception does not occur after the complete elimination of the disease, then additional studies are needed to determine the cause of infertility.

The tactics of treating endometriosis is chosen by the attending physician, depending on the individual characteristics of the woman.

• hormone therapy. This type of treatment is based on the suppression of estrogens (female hormones), which lead to the growth of the endometrium outside the uterus. Usually it is a synthetic analogue of progesterone () or other similar drugs of similar action. This type of treatment is used at 1-2 stages.
• Surgical intervention. It is not sad, but at the moment this is the only and most effective method by which you can completely get rid of the foci of endometriosis. Now endoscopic surgeries are being performed, after which the likelihood of a return of the diagnosis is minimal. In Russia, almost all such interventions are performed using laparoscopy. In addition to removing excess endometrium, during the operation they can restore the organ affected by it and separate the adhesions that have appeared. After this type of treatment, hormonal drugs are prescribed.
• Expectant tactics. If a woman already has children or she does not plan pregnancy, and the type of her endometriosis is not accompanied by pain symptoms, then this therapy is fully justified. At the same time, it is necessary to monitor the condition of the pelvic organs using ultrasound, as well as regularly donate blood for the presence of tumor markers, which indicate the early development of a malignant tumor.