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Endometriosis and infertility


The endometriosis it is a benign disease, which can affect women during their reproductive life. It can appear for the first time in your first period of the menstrual cycle and last, sometimes, until after menopause. This disease can affect a woman in her ability to have children and in her relationships with her partner. Women with advanced level endometriosis present considerable scarring that blocks the fallopian tubes and damages the ovaries, causing difficulties in achieving pregnancy. In many cases, advanced fertility treatments and methods are required.

To understand what endometriosis is, it is necessary to know how the endometrium works in a woman's uterus. Each month, the lining of the uterus grows in preparation for pregnancy. When a woman has not become pregnant, the lining of the uterus thins and the woman bleeds during menstruation.

But, when a woman has endometriosis, this tissue also grows outside the uterusi.e. in the ovaries, intestines, bladder and, in rare cases, areas with endometriosis can also grow in the lungs or other areas of the body.

These tissues or tumors, which are outside the uterus, are also affected by the monthly menstrual cycle and, as the blood does not find its way out of the body, inflammation and scar tissue develops. These tumors are usually benign (not cancerous) and are rarely related to cancer. The tumors can cause mild to severe pain, infertility (the woman cannot get pregnant), and heavy menstrual periods.

It is still unknown why the endometrium is located outside the uterus and the improperly developed tissue is able to settle anywhere in the abdomen, and even in more rare places such as the navel or the lungs.

The plaques that form are called implants when they are small, nodules when they are older, and endometriomas when they form cysts on the ovaries. The risk of endometriosis increases when periods last a long time or cycles are shorter. However, there are also genetic or environmental toxic factors, such as dioxin, that predispose to endometriosis.

In some cases, the woman with endometriosis does not suffer any symptoms and the diagnosis is accidental when operating it for other reasons. In others, internal irritation of the abdomen and adhesions are the cause of severe menstrual pain, pain during sexual intercourse (dyspareunia), heavier periods (hypermenorrhea), pain with defecation (disquecia) or fertility problems. Its intensity and frequency will depend on each case, being able to present one or more.

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Video: Trying to conceive with endometriosis. Improve your fertility. Dr. Morris tips (September 2021).