For many women, endometriosis is an unfamiliar condition they have never—or almost never—heard about. However, over 200 million women worldwide suffer from this disease and work to raise awareness about its impact, as it not only affects quality of life but can also compromise fertility.
For this reason, early and comprehensive diagnosis is crucial. However, it is not always easy to diagnose, as symptoms can sometimes be mild or mistaken for normal menstrual pain, leading many women to believe that what they experience is just a regular part of their cycle.
If you are young and experience severe or debilitating menstrual pain, discomfort or pain during sexual intercourse, or persistent pelvic pain, it is important to have a specialized gynecological evaluation to look for signs and symptoms of endometriosis, especially if you wish to become a mother in the future.
If there is a strong suspicion of endometriosis or it is confirmed through diagnosis, do not be alarmed. There are treatments available that can increase the chances of achieving pregnancy.
Common Questions About Endometriosis and Fertility
1. Why does endometriosis affect fertility?
Endometriosis is often found in reproductive organs such as the ovaries or fallopian tubes, making fertilization more difficult. Adhesions can also form, interfering with the function of the fallopian tubes. Additionally, more complex mechanisms may hinder egg development and embryo implantation, preventing pregnancy.
2. What are the chances of achieving pregnancy?
If you have endometriosis and have struggled to conceive, it is essential to visit a fertility center specializing in assisted reproduction and endometriosis. A personalized evaluation will help determine the best options available for your specific case.
3. What treatments can improve fertility?
Treatment should always be individualized and tailored to each patient—like a custom-made suit. Recommendations depend on your symptoms, desire for motherhood, and age. Options include hormonal medical treatment, surgery, and assisted reproductive techniques.
4. When is surgery necessary?
Surgery is considered for patients with persistent pain that is not controlled by medication, suspected or diagnosed deep lesions, large ovarian cysts, or significantly dilated fallopian tubes before undergoing assisted reproduction techniques.
5. How much does age impact fertility?
Over time, endometriosis can progress and fertility may decline. That is why we recommend not delaying motherhood or, alternatively, considering fertility preservation for patients with endometriosis.
6. How can assisted reproductive techniques help?
There are several assisted reproductive options that can increase the chances of pregnancy. The benefit depends on the severity of the disease, past treatment outcomes, and the patient’s age. Intrauterine insemination or IVF may be considered.
7. What is the success rate of IVF for endometriosis patients?
It varies greatly depending on the extent of the disease, the patient’s age, and the treatment chosen. Endometriosis may reduce the quantity of available eggs but tends to have a lesser effect on egg quality. If ovarian reserve is low but the uterus is healthy, IVF using egg donation can achieve success rates above 50%.
8. Does embryo implantation become more difficult?
Yes, and there may be other uterine conditions that also interfere with implantation, such as fibroids, adenomyosis, adhesions, or congenital malformations.
9. Is it true that pregnancy can improve symptoms?
Yes, thanks to the “hormonal treatment” effect of pregnancy, symptoms often improve, and the disease may become manageable with simpler treatments.
10. Is freezing my eggs a good option if I have endometriosis?
Yes, due to the progressive nature of endometriosis and the impact on ovarian reserve, fertility preservation is highly recommended. Surgeries for ovarian cysts or tumors can further reduce the number and quality of oocytes.
Take the Next Step Toward Parenthood
At Fertilite Querétaro, we specialize in helping women with endometriosis achieve a healthy pregnancy. Explore our fertility treatments here or contact us today to schedule your consultation.
Dr. Fabián Walters Arballo
Director Fertilite Tijuana
