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Does Endometriosis Cause Infertility?

In recent years, endometriosis has become a headliner and main topic of discussion in women’s healthcare. Endometriosis impacts nearly 1 in 10 women in their childbearing years and can come with many debilitating symptoms, from severe pain to fatigue. 

There is still a lot to learn about Endometriosis and how it impacts women, but there is significant evidence to show that it can negatively impact fertility for many women. It is believed that nearly 30-50% of women who have endometriosis will experience issues with infertility.

How Endometriosis Impacts Fertility

While we know there is some link between the presence of endometriosis and infertility, there are a few different ways that endometriosis can impact fertility. 

Endometriosis can alter ovulation and oocyte or egg production due to potentially increased inflammatory cells. It’s also believed that it can cause luteal phase disruption, which can lead to decreased endometrial receptivity. This makes it challenging for an embryo to implant in the uterine wall.

Inflammation from endometriosis can also impact tubal function and decrease tubal motility, which impacts the movement and implantation of embryos. 

In addition to inflammation, scar tissue, and adhesions can develop from the irritation caused by endometriosis. This scar tissue and/or presence of adhesions can cause organs to stick together while also causing damage to reproductive organs that can impact the ability of the eggs to be fertilized and implanted into the uterus. 

Research continues to demonstrate the complex nature of endometriosis and how it can negatively impact fertility. However, with all the new information we discover about this disease, it brings us closer to managing symptoms and helping those who struggle with fertility issues related to endometriosis.

Treatment Options for Endometriosis

There is currently no cure for endometriosis, but there are several treatment options depending on the severity of endometriosis. In terms of pain and symptom management, a variety of medications can be prescribed, from non-steroidal anti-inflammatory drugs (NSAIDs) to hormonal medications like contraceptive (birth control) methods such as IUDs or patches. However, some of these medications/treatments cannot be used if trying to conceive.

For those who have adhesions and scar tissue, they may need to consider surgery for removal. 

What to do if You Want to Start a Family

If you know or suspect that you have endometriosis and have concerns that it’s impacting your fertility, we encourage you to contact your OBGYN or a reproductive endocrinologist for a consultation. During the consultation, they can help determine the need for further testing or treatment to help you conceive. 

Here at OC Fertility, our mission is “Growing Families, Together” and we take pride in the state-of-the-art treatment and personalized care we offer each of our patients. If you’re ready to schedule your initial consultation, text or call us at 949-996-9522 today!

Author
Nidhee Sachdev, MD, FAOCG Dr. Nidhee Sachdev Nidhee Sachdev, MD has trained among the most prestigious and diverse medical programs in the country, including fellowship training in reproductive endocrinology and infertility at the prestigious New York University (NYU) Langone Fertility Center in New York City where she conducted research on preimplantation genetic screening (PGS) and the University of Chicago Medical Center, where she earned the academic distinction of chief resident in obstetrics and gynecology, and trained under a top recurrent pregnancy loss expert. Dr. Sachdev is passionate about providing individualized, collaborative patient care. She started her medical career right here in Orange County, earning her Doctor of Medicine at the University of California, Irvine, School of Medicine.

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