Endometriosis and Pregnancy - great threat complications
Endometriosis can affect many organs, creating a threat to conception, pregnancy and childbirth.Especially dangerous is asymptomatic form of the disease, when a woman considers herself healthy.To avoid complications during pregnancy, you should see your doctor regularly.
Hormonal disorders endometriosis - the threat of infertility
Endometriosis - it is always the result of a more or less severe hormonal disorders.Due to the hormonal failure (reasons may be, both congenital and acquired the character of) the body produces a lot of female sex hormones estrogen and progesterone low, which leads to violations of ovulation (ovulation can not attack at all), and to the unavailability of the mucous membrane of the uterus (the endometrium) tothe introduction of the embryo.
Threat to internal endometriosis during pregnancy
internal endometriosis - this defeat of the uterus (its muscle layer), and fallopian tubes.Lesions of the muscle layer of the uterus - is the most common form of endometriosis, in which a pregnancy in most cases can not occur as a result of hormonal disorders - lack of ovulation Ovulation - How to determine as accurately as possible? and the unwillingness of the endometrium to the introduction of the embryo.
However, the degree of hormonal disorders may differ and in some cases, pregnancy still occurs.In this case, in the first months of pregnancy is threatened abortion due to the fact that the body produces enough of the female sex hormone progesterone Progesterone - norm and pathology , which inhibits the contraction of the smooth muscle of the uterus.In the second half of pregnancy there is a risk of rupture of the uterus due to the fact that endometriosis sites violate the strength of its walls (pathological focus can penetrate through the uterine wall).
If abnormal foci occur in the fallopian tubes, this leads to the appearance of these adhesions.Pipes become impassable for a large egg, which is the cause of infertility.Small sperm can "skip" over the obstacle and fertilize the egg, then the pregnancy will develop in the fallopian tube, which will eventually lead to rupture (ectopic pregnancy).
Threat to pregnancy in external endometriosis
For external endometriosis external endometriosis - a mysterious disease pregnancy is also a threat.Hormonal disorders accompanied by any form of endometriosis, infertility and therefore the threat remains.Furthermore, in lesions of individual organs and tissues obstacles arise their pregnancy.
Thus, in endometriosis of the cervix and vagina abnormal foci in these organs germinate connective tissue is not capable of stretching.As a result, during birth the cervix is not disclosed or disclosed with difficulty.The walls of the vagina and do not stretch for the formation of the birth canal.This becomes an obstacle for normal delivery.In this case the delivery is to be possible only by Caesarean section.
When ovarian endometriosis in this body develop sclerotic changes, which do not allow the egg to reach the abdominal cavity in order to then get into the fallopian tube for fertilization.
Is it possible to conceive, carry and give birth in endometriosis
In some cases, if unexpressed Endometriosis Endometriosis - a serious problem with serious consequences possible even without treatment, but such cases a little bit.Moreover, even if conception occurred, the woman is very risks during pregnancy and childbirth.But there during pregnancy and a positive fact: endometriosis during prolonged absence of cyclic changes in the endometrium may be reduced or even disappear altogether.
solution is to timely detection of endometriosis, it is quite possible that if a woman is planning a pregnancy and pre-pass full inspection.Identify even asymptomatic forms of the disease today, presents no great difficulty.Sparing techniques have also been developed for the treatment of women of reproductive age, which allow her to have children after treatment.
Generally, these techniques are either only conservative therapy using drugs that restore a normal menstrual cycle, or a conservative combination with surgical treatment.Surgical treatment is usually subjected to external forms of endometriosis.This gentle way operations are conducted with the help of special equipment that allows to perform the surgery with preservation of all functions of the operated organ and not to injure the surrounding tissue, which would cause the formation of adhesions.
Such operations are carried out with the use of advanced optical equipment (hysteroscopy, laparoscopy), allowing to do surgery without cutting tissue.After surgery to prevent the formation of new endometriosis also conducted individually chosen hormone therapy.
only after the threat of recurrence of endometriosis significantly reduced, it will be possible to think about the pregnancy, which in this case will take place without any special risks.