Endometriosis, abbreviated as EMS, refers to the active endometrial tissue implanted outside the uterine cavity. It is one of the common causes of infertility in women of childbearing age. The incidence of EMS among women of childbearing age is 10% to 15%, while among women suffering from infertility, it can be as high as 25% to 50%. The ectopic endometrium can affect the pelvic environment through various pathophysiological mechanisms, leading to pelvic adhesions, decreased gamete and embryo quality, ultimately resulting in infertility.
Is Endometriosis Equivalent to Infertility?
Although endometriosis may affect a woman’s fertility, it does not necessarily mean infertility. According to research, about 40% to 50% of patients with endometriosis may encounter infertility issues. However, this does not imply that all women with endometriosis cannot conceive successfully. In fact, many women with endometriosis can still conceive naturally or successfully through assisted reproductive technology.
How to Improve the Fertility of Women with Endometriosis?
For women with endometriosis who wish to conceive, here are some suggestions that may help improve their fertility:
Medication Therapy: Some medications can help alleviate the symptoms of endometriosis and may improve fertility. For example, oral contraceptives, gonadotropin-releasing hormone (GnRH) agonists, and progesterone medications.
Surgical Treatment: In some cases, surgery may be the best option for treating endometriosis. For example, if ectopic endometrium has formed large masses or is causing severe pain, surgery may be necessary.
Assisted Reproductive Technology: For endometriosis patients who cannot conceive naturally, assisted reproductive technology such as in vitro fertilization (IVF) or embryo transfer can be considered.
Conclusion:
Endometriosis may affect a woman’s fertility, but it does not necessarily mean infertility. With appropriate treatment and management, many women with endometriosis can still conceive successfully and have healthy babies.
