Endometriosis is a disease with an increasing incidence and that affects millions of women around the world. It generates a wide range of symptoms, some of them easily recognizable and comes to involve both physically and psychically patients. The success of its control depends on an early diagnosis, a correct medical-surgical management of the disease and an effective treatment, but hardly aggressive. In endometriosis, the tissue that behaves like the cells that line the uterus (endometrium) grows in other areas of the body, causing pain, irregular bleeding and possible infertility, but not in all patients, especially if it is mild .
Lamparoscopy surgery can help improve fertility. The chances of success depend on the severity of the endometriosis. If the first surgery does not help to achieve a pregnancy, it is unlikely that a repeat laparoscopy will help.
Patients should consider additional infertility treatments. Pregnancy has a protective effect on the development of future endometriosis. This is due to the fact that the ovaries remain at rest during the gestation months and, therefore, without the secretion of female hormones. However, a patient should never be advised to become pregnant for better control of her problem.
According to the revelations of a study carried out by the team of Dr. Paul Dmowski, from the Oak Brook Fertility Center in Illinois (USA), the In Vitro fertilization is the most effective technique to achieve pregnancy in patients suffering from endometriosis.
The study has compared three different techniques in 313 patients: ovarian stimulation and artificial insemination, in vitro fertilization with embryo transfer (FIVET) in the first instance, and in vitro fertilization with embryo transfer after failure of artificial insemination. The researchers argue that 'the benefit of in vitro fertilization is more important than that of artificial insemination in women victims of endometriosis.
Since ovarian stimulation, in cases of endometriosis, can produce undesirable effects, FIVET should be indicated in the first instance in the treatment of infertility in women affected by this disease. If ovarian stimulation is attempted, it should not exceed three or four cycles. '
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