At www.womenshealthpractice.com fertility management includes consideration of endometrosis. Exactly why endometriosis causes infertility is unfortunately not exactly known. Endometriosis has been called an inflammatory condition which is caused by implants or lesions of uterine lining-like (endometrium-like) tissue outside of the uterus, usually on the ovary or near the ovary, on the fallopian tubes or near those structures.
1. Severe endometriosis blocks tubal function. If there is tubal blockage then it is clear how this is associated with infertility, the sperm and egg just won't meet up.
2. Endometriosis causes an inflammatory condition in the pelvis. The degree of inflammation may be related to both the number and location of implants and the degree of infertility.
3. Endometriosis can alter the natural hormone cycle and ovulation by an ovary affected by the endometriosis and even leading to defective numbers of eggs and embryos, as well as abnormal transport of the fertilized into the tube.
4. Prevention and cure before pregnancy is the best. Correcting fertility which is impaired by active endometriosis is almost as controversial. Much research states that ovulation induction, and management of that treatment is the most effective and quickest way to conceive. You have to have individual consultation to decide the best overall treatment for both endometriosis and infertility.
5. Endometriosis tends to be a progressive disease and 30-60% of patients will progress if not undergoing treatment, and we cannot predict which patients will progress.
6. Current studies of endometriosis differ on whether to take medication or perform surgery. As newer medications come on board this may change, but for now, for advanced cases of endometriosis medication, such as Lupron which can drastically lower estrogen levels, may be beneficial, although some studies suggest surgery is associated with more rapid times to conception than medication. The other issue is whether you have a case of endometriosis that will progress if not treated.
New treatments are available at all times, and at Women's Health Practice we can often offer Clinical Research Trials that are on going on this topic. Call 217-356-3736