Endometriosis and Pregnancy…is it possible?
Dr. Rodrigo Arredondo Merino solves the more frequent doubts about how the endometriosis affects the pregnancy..
Can I get pregnant if I suffer from endometriosis?
Yes. It is possible to get pregnant if you suffer from endometriosis. As long as the causes which produce the infertility are solved.
The endometriosis may affect the ovaries and/or the fallopian tubes preventing the correct ovulation as well as preventing the egg from reaching the uterus to achieve an appropriate implantation.
Other forms in which the fertility may be affected during pregnancy is due to direct injury by inflammatory cells caused by the endometriosis implants, same that may harm the sperms and the egg. The only way to diagnose and treat the endometriosis is the laparoscopic surgery that serves for the identification of areas in which the endometrium is present and treat them, at the same time reducing the injuries in the pelvis.
There is no evidence that taking medicines may improve the possibilities of getting pregnant in a woman. It is important to live a life as healthy as possible when you suffer from endometriosis and you are trying to get pregnant. This may reduce the inflammation in your body and prepare it to help your baby grow and thrive through a healthy pregnancy.
What would be the impact of endometriosis on pregnancy?
Unfortunately, the patients could suffer endometriosis during pregnancy, although it is said that it is less painful as compared with the common condition that the women suffering from this experience.
It is known that the endometriosis is less severe during pregnancy due to the hormonal environment that prevents the disease to become too stressful. It is a fact that the endometriosis may return when the pregnancy has ended.
A pregnant woman with endometriosis is considered a high risk case, as the disease could be deadly for the mother and the baby.
Consequences of endometriosis during pregnancy
Although it is still necessary to have more studies favoring this relation, the endometriosis has been associated with the following conditions:
- Preterm birth: A study made in Scotland showed that women with a history of endometriosis and whose pregnancy exceeds the 24 weeks had a risk higher than the mean of having a preterm birth.
- Ectopic pregnancy: During an ectopic pregnancy, the fertilized egg is implanted in an area that is different to the main cavity of the uterus, generally in the fallopian tubes or in the cervix.
- Prenatal hemorrhage: This is the bleeding that appears during the second half of the pregnancy. As in the preterm birth, the risk of prenatal hemorrhage in a woman is triggered if she suffers from endometriosis and if her pregnancy is over 24 weeks. However, in several cases, the cause of the bleeding is still unknown, although it could be initiated due to the premature placental abruption or placenta praevia.
- Spontaneous abortion: defined as the loss of the fetus before the first 20 weeks, there are some studies that have highlighted the relation of the endometriosis with the spontaneous abortion, although other studies have not found yet any definitive relation.
What kind of treatments for endometriosis may I take if I am pregnant?
Unfortunately, there is still no specific treatment for pregnant women who suffer from endometriosis, what is indeed performed as a permanent practice is the close monitoring of the pregnancy considering it as a high risk pregnancy and by means of periodical controls and targeted diets, the inflammatory state that comes with this disease is tried to be diminished.