Endometriosis is a long-term disease in which tissue that is similar to the endometrial lining of the uterus, grows elsewhere in the body, usually in the ovaries, fallopian tubes and lining of the pelvis.

This tissue, which is out of place, reacts to hormonal changes due to swelling, scarring (adhesion), and ulcers (endometrioma), all of which can be found in the way of conception.

India today, for an intensive understanding of the issue, Dr. an endometriosis specialist at the Meflower Women’s Hospital in Ahmedabad. Talked with Smet Patel.

Women have difficulty with fertility as a result of about 30% to 50% endometriosis cases, and although many of them conceive normally, others will require medical treatment due to adverse factors such as stains, hormonal disturbances, and immunological defects, which interfere with the reproductive system.

How does endometriosis affect fertilization?

Endometriosis can affect fertility in various ways. Scarring results from scarning as a result of tubal blockage, which blocks the egg passage to sperm. Pelvic inflammatory disease causes chronic inflammation within the pelvis, which creates an environment in which sperm cannot function, reducing their ability to fertilize eggs.

The disease also affects ovarian function, compromising egg quality and low reserves. Hormonal imbalances, which include elevated estrogen and progesterone resistance, can interfere with ovulation and implantation.

Some women with endometriosis also have a highly active immune system that can accidentally target sperm or fetus. In more advanced cases, endometrioma (ovarian ulcers) also interfere with ovulation, making it even more difficult to conceive.

Can you get pregnant with endometriosis?

Yes, endometriosis can lead to pregnancy. Most women with minimum symptoms conceive spontaneously, but if they fail to conceive within six months to a year, it is recommended to consult a doctor. Initial treatment helps to avoid further complications and increase the possibility of conception.

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Treatment options for infertility related to endometriosis

There are several treatment options to help women with endometriosis in conception.

Surgery, like laparoscopy, scar tissue, adhesion, and endometrioma, facilitates natural conception. Treatment for fertility such as ovulation induction (with clomids or latrozole), intraterine insemination (IUI), or in vitro fertilization (IVF) can crack many of the resistance presented by endometriosis.

Hormone therapy, such as GNRH agonists, can help in symptoms management and reproductive improvement, although birth control pills are usually not appropriate for those who try to conceive.

After high -inflammatory diet in omega -3 fatty acids, antioxidants, and fiber, demanding lifestyle modifications and care can reduce inflammation, and can increase supplements such as vitamin D, omega -3 and coonzym Q10.

Exercise, reduction in stress and hormone balance also promote breeding good.

Women who cannot be pregnant within six months (if more than 35 years of age) or one year (if under 35 years of age) should be consulted by a physician. Women who are advanced endometriosis with persistent pelvic pain, irregular menstrual bleeding, or pain during sexual intercourse should go to meet a specialist.

Women with known ovarian ulcers or tubal obstruction will also be recommended to undergo initial fertility tests.

Although endometriosis can obstruct conception, it is not necessarily a stumble for pregnancy. With proper initial diagnosis, medical intervention and lifestyle adjustment, most women with endometriosis receive conception.

If you are facing difficulties with conception, a gynecologist or reproductive specialist’s visit will allow you to detect the optimal route.

Global prevalence and regional variations

The prevalence of endometriosis varies in different fields and population:

• New Zealand: In 2019, New Zealand reported the highest age-standard circulation rate (ASPR) of endometriosis, with 1,172.91 cases per 100,000 persons.
• Afghanistan: After closely, Afghanistan had 1,017.18 ASPR per 100,000 individuals per in a year.

In contrast, some countries reported low circulation rate:

• Iceland: 301.96 cases per 100,000 persons.
• United States: 374.15 cases per 100,000 persons.
• Denmark: 378.56 cases per 100,000 persons.

Research indicates that endometriosis may be more prevalent among some ethnic groups:

Asian women: studies have shown that Asian women are more likely to diagnose endometriosis than Caucasian women. For example, Filipino, Indian, Japanese and Koreans are more likely to be endometriosis than Caucasian women.

Global health perspective

The World Health Organization (WHO) accepts sufficient effects of endometriosis on sexual and reproductive health, quality of life and overall welfare of individuals.

The WHO collaborates with various stakeholders to promote effective policies and interventions that address endometriosis globally, which pays special attention to low and medium-or-middle countries.