Fertility rapidly declines after the age of 38 both due to the rate at which the egg sacs disappear from the ovaries accelerating and due to increased rates for miscarriage and chromosomal abnormalities. For those with endometriosis who do experience fertility issues, a proportion will get pregnant after medical assistance, either surgery to remove endometriosis or through assisted reproduction technologies ie IVF.
For those with superficial endometriosis where tissue attaches to the peritoneum there is evidence that laparoscopic surgery leads to better pregnancy rates and it can improve the chances of becoming pregnant naturally if you have had problems conceiving.
For those with deep endometriosis where the bowel, bladder or ureter is involved there has been little research on the effect of surgery on pregnancy rates. In general, pain improves, but may return after giving birth as periods return. There are reports of individuals who had more pain in the first few months of pregnancy. Sadly, miscarriage is a common problem in all pregnancies, regardless of whether or not you have endometriosis.
Miscarriage occurs in around 1 in 5 pregnancies, and if you have endometriosis, the risk increases to around 1 in 4. Does endometriosis increase the likelihood of ectopic pregnancy?
Ectopic pregnancies are less common than miscarriages, with around 1 in 80 to pregnancies ending up as ectopic. This may be your gynecologist or another experienced surgeon.
If you know you want to have a baby at some point, but not right now, then you should also be aware that there are options to preserve your fertility through egg freezing at this point in time.
Recognizing that the number of eggs a woman has will decrease over time, and recognizing that endometriosis does tend to worsen with time, many women are now choosing to proactively freeze their eggs in the event that their endometriosis threatens their fertility in the future.
Also, while laparoscopic surgery can help to reduce the pain associated with endometriosis, it can also negatively affect your ovarian reserve. Therefore, freezing your eggs prior to surgery ensures you have options in the future. This is a conversation to have with a fertility specialist who can best guide you in your decision making process. For any woman who has or suspects endometriosis and is seeking to get pregnant, we recommend seeing a fertility specialist sooner rather than later.
With proper counseling and care, the chances of getting pregnant with endometriosis are high for most women. The first step prior to treatment is to complete a full infertility work-up to identify any other potential challenges such as age or male fertility issues that the couple may experience when trying to conceive.
Health Conditions Discover Plan Connect. Medically reviewed by Carolyn Kay, M. How does endometriosis affect pregnancy? When to speak with your doctor. Help for endometriosis-related infertility. How to improve your chances of conceiving with endometriosis.
Outlook for endometriosis and fertility. Parenthood Pregnancy Getting Pregnant. Read this next. How Is Endometriosis Diagnosed? Medically reviewed by Fernando Mariz, MD. Medically reviewed by Alana Biggers, M. What to Know About Living with Endometriosis Living with endometriosis can impact your life in many ways and comes with unique challenges.
Can Endometriosis Cause Nausea? Women with endometriosis can get pregnant, naturally or with the help of fertility treatments, depending on the severity of their condition, age, and overall health. Endometriosis is an intrusive, incurable, chronic illness.
In addition to causing debilitating pain, endometriosis may affect one's mental health , social relationships, and sexual functioning. If you have endometriosis, being proactive and advocating for your reproductive health is key for a healthy pregnancy. This may include lifestyle changes or consulting with a fertility specialist about medical interventions. World globe An icon of the world globe, indicating different international options.
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