![]() ![]() Infertility management according to the Endometriosis Fertility Index in patients operated for endometriosis: What is the optimal time frame? ![]() You can learn more about how we ensure our content is accurate and current by reading our editorial policy. We link primary sources - including studies, scientific references, and statistics - within each article and also list them in the resources section at the bottom of our articles. Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. The doctor then implants embryos into the uterus. After selecting the best eggs, they fertilize each with sperm to create embryos. Once a person has enough eggs, a doctor harvests them. This treatment requires a person to inject fertility medication that promotes egg growth. In the later stages of endometriosis, a doctor will likely recommend IVF. If this treatment is unsuccessful, a doctor may suggest injectable fertility medications or IVF. When they are ovulating, a doctor will place sperm into the uterus with a thin tube. If a doctor removes lesions from an ovary, they can decrease the number of eggs a person has.įor people who are 35 or older, doctors may recommend a combination of the drug clomiphene with intrauterine insemination (IUI) instead of surgery.ĭuring this treatment, a person takes clomiphene citrate to trigger ovulation. A doctor can use this to assess how many lesions a person has and surgically remove them if necessary.Īlthough laparoscopy is a simple surgery, it comes with some risks. This is a simple procedure where a medical professional inserts a camera through a small incision in the stomach. ![]() However, if someone is finding it difficult to conceive, a doctor may perform a laparoscopy. In the earlier stages of endometriosis, a person might be able to get pregnant without any medical assistance. The treatment a doctor recommends depends on the stage and type of endometriosis a person has. Several treatment options are available for people with endometriosis who have not become pregnant after 6–12 months of trying. It is important to note that while a person may no longer be able to conceive naturally at this stage, they may become pregnant with IVF treatment.įertility treatment options for endometriosis If a person has already undergone previous cyst removal surgeries, they may have also lost a significant number of eggs. ![]() In addition to endometriomas, a person with stage IV endometriosis may have extensive scarring in the ovaries, uterus, and rectum. It is the most severe form of the condition.ĭoctors usually classify deeply infiltrating endometriosis as stage IV because a person has growths or lesions that extend 5mm below the peritoneum. In deeply infiltrating endometriosis, endometrial-like tissue grows on organs near the uterus, such as the vagina, bladder, and bowel. This means they may begin developing scar tissue on the fallopian tubes and ovaries.Įndometriomas can greatly impact a person’s fertility due to their damaging effect on ovarian tissue, which may lead to ovulation issues. When a person has endometrioma, they usually have stage III or IV endometriosis. They are dark, fluid-filled sacs that doctors sometimes refer to as chocolate cysts. EndometriomasĮndometriomas are cysts that grow on the surface of or inside the ovaries. Despite superficial peritoneal lesion being the least severe form of endometriosis, some people may find conceiving difficult. When a person has a peritoneal lesion, they may have growths or cysts in the peritoneum.ĭoctors usually class superficial peritoneal lesions as stage I or II endometriosis. The peritoneum is a thin film lining the abdomen. They range from I–IV, with stage I being the least severe and stage IV the most severe. These classifications describe where the endometriosis patches have grown in a person’s body.Īdditionally, medical professionals divide endometriosis into stages. There are three main types of endometriosis: superficial peritoneal, endometriomas, and deeply infiltrating. ![]()
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