Endometriosis and uterine pregnancy - possible infertility and miscarriage
uterus Endometriosis - a significant change in its wall on the background of hormonal disorders in women.With these disorders it is very difficult to conceive, carry and give birth to a child.Therefore, the disease is better detection and treatment before pregnancy in preparation for a planned it.
Can pregnancy occur in endometriosis uterine
In most cases, pregnancy in this pathology of the uterus does not occur.
This happens because of the hormonal changes that have resulted in the development of endometriosis uterus.In this case, a woman's body produces too much of the female sex hormones estrogen and low female sex hormone progesterone.This often leads to a lack of ovulation Ovulation - How to determine as accurately as possible? (release of the egg from the ovary).Without ovulation, pregnancy is impossible.
But there is another factor that ensures sterility: this is a significant growth of the mucous membrane of the uterus (endometrium) in the first half of the menstrual cycle and the transition process growths (proliferation) in the second half of the menstrual cycle in the phase of secretion, which prepares the uterine lining for the introduction of the embryo.Phase secretion occurs under the influence of progesterone Progesterone - norm and pathology , and since it is not enough, the endometrium is unprepared for the introduction of the embryo.
causes of infertility may lie in the dissemination of endometriotic lesions of the uterus to other reproductive organs.Thus, the spread of lesions in the fallopian tubes can lead to their complete obstruction, which in turn will lead to the inability to fertilize an egg, or to develop an ectopic (tubal) pregnancy.
In this case, fertilization may occur, since the sperm has a very small size can slip through impenetrable pipes.But most fertilized egg (embryo) can not pass the obstacle in the form of impaired patency of the fallopian tube and begins to develop in its lumen, this leads to rupture of the fallopian tube for about 5-8 weeks of gestation.
endometriosis can get out of the uterus and ovaries, leading to the formation of endometrial cysts, sclerosis and an inability to release an egg from the ovary.
Dangers first half of pregnancy
main danger in this situation in the first half of pregnancy is the threat of miscarriage.In women with endometriosis Endometriosis - a serious problem with serious consequences uterus produces too little progesterone, he can not suppress the muscle contractions of the uterus.In addition, the muscle contractions are provoked and patches of endometriosis in the wall of the uterus.
All of this leads to the fact that the muscles of the uterus begins to contract and actively pushes the embryo from the uterus - there comes a spontaneous miscarriage.In order to suppress the muscle contractions, women are prescribed drugs - synthetic versions of progesterone, for example, djufaston Djufaston - helps female body during the first and possibly the second trimester of pregnancy.
Dangers second half of pregnancy
As is known, endometriosis, uterus - is sprouting portions of the mucous membrane of the uterus (the endometrium) in its muscular layer.If pregnancy occurs against the backdrop of the first stage of germination of the endometrium in the uterine wall and the pathological focus is not growing too fast, then there is usually no threat.But at the second stage of the pathological process where endometrium penetrates half the thickness of the muscle layer, there is danger of perforation of the wall and the rupture of the uterus.
This threat is increased by the rapid development of lesions.
When third-degree germination endometrial he permeates the muscle layer of the uterus cavity while separated from the pelvic cavity only a thin serous membrane.This creates a serious threat of uterine rupture and often makes recourse to premature delivery by cesarean section.
But any surgery on the uterus will lead to further spread of endometriosis, including not only the genitals, he and other distant organs and tissues through the blood and lymph.
How to combine endometriosis uterine pregnancy
better they still do not combine.To avoid such troubles, as the detection of endometriosis uterus during pregnancy, the last better plan to conduct preliminary planning survey of both spouses.In this case, the detection of endometriosis uterus it can treat, and then (after a few months) after doctor's permission to think about the child's birth.