share Send Page Print Glossary

endometriosis

The lining of the uterus is called the endometrium and it is shed monthly if pregnancy does not occur. The endometrial tissue passes through the uterus and outside the body in the form of menstrual bleeding. Endometriosis results when menstrual bleeding flows backwards through the fallopian tubes and grows outside the uterus. Distortion of the anatomy due to endometriosis can block the fallopian tubes and prevent the sperm from reaching and fertilizing the egg. Some theorize that endometriosis can secrete toxins that can reduce fertility.

symptoms

Painful intercourse and painful, heavy menstrual periods may be symptoms of endometriosis. However, some cases of endometriosis are totally without symptoms. A surgical procedure called laparoscopy can confirm the diagnosis of endometriosis.

cause

The cause endometriosis is not clear; however, a leading theory is retrograde menstruation. This backward flow of menstrual bleeding through the tubes and into the pelvis might cause the endometrial cells to implant on the ovaries, uterus and other non-reproductive abdominal organs. Researchers also think that it could be genetic, since female family members sometimes share the condition.

treatment

Endometriosis can be treated in several ways, depending on the severity of the condition:

  • Drug treatment: The least invasive treatment uses drugs. The drugs work by suppressing the pituitary gland and the secretion of hormones that may be causing the endometriosis. You cannot get pregnant while taking these drugs.
  • Surgical treatment: Procedures such as laparoscopy or laparotomy can surgically remove endometrial implants or adhesions (scarring) that result from endometriosis. After surgery to treat endometriosis, the healthcare provider may prescribe clomiphene or gonadotropins to help recruit multiple follicles, induce ovulation and increase the chances of conception.
  • Assisted reproductive technology:In vitro fertilization (IVF) is recommended when the fallopian tubes have been damaged. However, the more severe the endometriosis is, the lower the chance of conception.

Would you recommend this page to other couples testing for infertility?

WHAT DO YOU THINK?

Would you recommend this page to other couples testing for infertility?

OTHER COUPLES RECOMMEND

Most recommended pages for couples testing for infertility:

testing for infertility

testing fertility at home

fertility tests for women