woman struggling with endometriosis

Have you ever wondered if endometriosis would affect your ability to get pregnant? It’s a common question, especially for women with this condition. Approximately 10% of women of reproductive age grapple with endometriosis, raising concerns about fertility. 

The good news? Endometriosis doesn’t necessarily mean that you won’t be able to get pregnant. Research suggests that about 60-70% of individuals with endometriosis can achieve spontaneous pregnancy.

How does this endometriosis impact pregnancy, and what support is available for those seeking to start a family amidst the challenges of endometriosis-related infertility? Fertility experts at the Jacksonville Center for Reproductive Medicine offer some guidance on how endometriosis can affect your fertility. 

What is Endometriosis?

Doctor or Nurse consulting patient on the topic of endometriosisEndometriosis is a medical condition where tissue similar to the lining of the uterus, called endometrium, grows outside the uterus. This tissue can be found on the ovaries, fallopian tubes, and other pelvic structures.

During a menstrual cycle, the endometrial tissue thickens, breaks down, and is shed through menstruation. However, the displaced endometrial tissue cannot exit the body, leading to inflammation, pain, and scar tissue formation.

The exact cause of endometriosis is not fully understood, but it is believed to involve a combination of genetic, hormonal, and immune factors.

Common symptoms include:

  • Pelvic pain
  • Pain during intercourse
  • Irregular menstrual cycles
  • Infertility

Endometriosis can vary in severity, ranging from mild, with minimal tissue growth and little to no symptoms, to severe, where there is extensive tissue growth, significant pain, and potential complications affecting fertility.

Treatment for Endometriosis

In general, laparoscopy, a minimally invasive surgical procedure, is used to diagnose and treat endometriosis.

Surgery may be the only way to relieve ongoing pain. Cysts of endometriosis on the ovaries (endometriomas), are unlikely to disappear on their own and generally cannot be treated with medicine. They may be removed surgically if they are causing pain and other symptoms or if they are large.

Does Endometriosis Affect Pregnancy?

Endometriosis, a condition where tissue similar to the lining of the uterus grows outside the womb, can significantly impact fertility. According to research from the American Society for Reproductive Medicine (ASRM) and the National Institutes of Health (NIH), endometriosis can lead to various factors affecting conception. 

These factors may develop due to endometriosis:

  • Distorted pelvic anatomy
  • Scarred fallopian tubes
  • Adhesions
  • Inflammation in pelvic structures
  • Hormonal imbalances affecting egg quality
  • Compromised immune system functioning
  • Impaired embryo implantation
  • Reduced fertility due to changes in the ovary’s blood flow and oxygen supply 

Help With Endometriosis-Related Infertility

woman with endometriosis looking at ultrasounds of pregnancyWhen facing infertility due to endometriosis, there are effective ways to seek help:

Medical Interventions:

  • Laparoscopic Surgery: Ideal for superficial endometriosis, it enhances natural conception rates.
  • Assisted Reproduction Technologies (ART): IVF is an option for deep endometriosis cases.

Multidisciplinary Approach:

  • Fertility Specialists: Collaborative care ensures personalized and comprehensive solutions.

Support and Counseling:

  • Emotional Support: Seek guidance from counselors or support groups specializing in fertility.

Lifestyle Practices:

  • Maintain a Healthy Weight: Optimal weight positively impacts fertility.
  • Nutrient-Dense Diet and Exercise: Promote overall health and reduce inflammation.

Timely Consultation:

  • Age Considerations: Early consultation with fertility specialists allows for timely assessments and discussions.

For personalized guidance, connect with one of our reproductive specialists. Our experienced team offers tailored solutions and support, turning the dream of parenthood into reality despite endometriosis challenges.

Tips for Conceiving With Endometriosis

  • Laparoscopic Surgery for Superficial Endometriosis: Research suggests that laparoscopic surgery can enhance pregnancy rates, especially for those with superficial endometriosis, where tissue attaches to the peritoneum. This procedure can improve natural conception for individuals facing difficulties.
  • Multidisciplinary Team Involvement: For deep endometriosis cases, involving a multidisciplinary team with a fertility specialist is essential. Diagnostic fertility tests, preoperative tests, and fertility treatments, including assisted reproduction, can be recommended to optimize the chances of conception.
  • Lifestyle Choices: Maintaining a healthy weight, consuming nutrient-dense foods, and engaging in moderate exercise contribute to overall well-being. These lifestyle choices can reduce inflammation and create an environment conducive to a healthy pregnancy.

Next Steps with Endometriosis 

Endometriosis and fertility are two complex issues that require knowledge, support, and guidance to navigate successfully. If you experience endometriosis and are seeking advice for conception, make an appointment today with one of our reproductive specialists at the Jacksonville Center for Reproductive Medicine. Our highly professional team with years of experience is dedicated to providing a warm, supportive, and caring environment for individuals and couples facing fertility challenges.