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Endometriosis Patients May Still Get Pregnant in This Way

About 30-50% of women who experience endometriosis also experience fertility disorders or infertility. Although not easy, there are actually ways that can be taken, in order to achieve pregnancy for people with endometriosis.

Overview of Endometriosis

Endometriosis is an abnormal condition when the tissue that is supposed to coat the uterine wall (endometrium) grows outside the uterus. The endometrium will generally experience thickening before ovulation (release of the egg) to prepare the presence of a prospective fetus to attach to the uterus in the event of fertilization. If there is no fertilization, the endometrial tissue will decay so that menstruation occurs.

But in the case of endometriosis, endometrial tissue that grows outside the uterus also decays during menstruation. It's just that, because it is not in the womb, endometrial tissue cannot pass through the vagina like other normal tissues.

As a result the network that cannot come out will settle in the surrounding tissue so that over time it will cause inflammation, cysts, scar tissue, and eventually cause symptoms.

Effect of Endometriosis on Fertility

Here are some reasons why endometriosis is often accompanied by fertility or infertility disorders:

Affect the ovary or fallopian tube

If endometriosis is present in the fallopian tube, this tissue will block the egg from entering the uterus.

Damaging eggs and sperm

Inflammation that occurs due to endometriosis, can damage the egg and sperm. This condition certainly interferes with fertility and can prevent conception.

Inflict pain during intercourse

For women with endometriosis, sexual intercourse can be painful so reluctant to do so.

Use of birth control pills to relieve symptoms of endometriosis

To relieve the symptoms experienced, people with endometriosis are likely to be given hormone therapy, for example through the provision of birth control pills. Unfortunately, taking birth control pills will prevent pregnancy.

Surgery can reduce the chance of pregnancy

In conditions that are quite severe, endometriosis tissue needs to be removed through surgery. The goal is that the pain can be overcome. Even so, this operation may need to be performed more than once, so that scar tissue can form on the operating scar. This can increase the risk of fertility disorders, especially in very severe cases, it is possible to remove the uterus.

Pregnant Efforts for Women Who Have Endometriosis

Although endometriosis can interfere with fertility and the possibility of pregnancy, don't give up immediately. Consult your doctor about the condition of endometriosis that you experience and the pregnancy plan that is right for you to live. The doctor will conduct a series of examinations to determine the most appropriate pregnancy planning.

The choice of methods for planning pregnancy, will be adjusted to factors that affect infertility, age, and severity of endometriosis. Here are some methods that might be recommended:

Artificial insemination

Artificial insemination or intrauterine insemination (IUI), usually recommended for women with mild endometriosis, normal fallopian tubes and having good sperm quality partners. This effort is usually supported by the provision of fertility drugs.

In vitro fertilization (IVF) or test-tube baby

Another method recommended is in vitro fertilization (IVF). IVF is usually done if pregnancy efforts through IUI and administration of fertility drugs are not successful.

But women over the age of 35, have stage 3 or 4 endometriosis, and have more than one factor that increases the risk of infertility, usually recommended to undergo IVF immediately.


Surgery to remove endometrial tissue from organs other than the uterus can be carried out to reduce pain due to endometriosis and increase fertility. Even so, as explained above, surgery risks creating scar tissue which actually increases the risk of fertility disorders.

Before deciding to undergo surgery, make sure you understand the positive and negative sides of this operation, so that you can carefully consider the benefits and risks.

Pregnancy with endometriosis is indeed more at risk of complications than normal pregnancies, such as premature birth, placental disorders, and preeclampsia. However, you can anticipate this risk and minimize it with a thorough examination with your doctor. The other good news, not a few women with this condition who managed to give birth to a healthy baby.

The key, discuss with your doctor about the conditions of endometriosis that you experience, as well as your pregnancy plan. Thus, doctors can provide advice and appropriate actions to deal with complaints, while supporting your pregnancy plan.



1. UCLA Health. UCLA Obstetrics and Gynecology. Endometriosis.

2. Gurevich, R. Very Well Family (2018). How to Get Pregnant If You Have Endometriosis.

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Is a health and wellness enthusiast. In him free time, she loves to travel and taste different types of teas.

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