Pregnancy after endometriosis - is quite possible
Pregnancy after endometriosis is quite possible, because modern combined treatments can eliminate not only the endometriosis, and adhesions, which are often formed in this disease.Only problem is compounded by the fact that endometriosis often recurs.
How to treat endometriosis in women of fertile (childbearing age)
Endometriosis - a disease that requires an individual approach to treatment.This is especially true of women of childbearing age who want to have children.But the main problem lies in the fact that for any method of treatment in this age group may relapse.
Therefore today are inclined to believe that the presence of infertility due to endometriosis surgical treatment - removal of foci endometirioza using surgery with pre-correction of hormonal disorders.Operations are conducted, usually with the use of laparoscopic equipment, which allows minimally traumatize the surrounding tissue.This is very important in this case, since the location of injured tissue is then developed adhesions, which themselves may be a barrier to pregnancy.
If a woman wants to have children, the reducing postoperative treatment after some gynecologists recommend her to do this as quickly as possible, because in most cases, endometriosis recur.Others gynecologists recommend hold first full combination therapy, which consists of laparoscopic surgery and subsequent antirecurrent hormonal treatment over a period of three to six months.Depending on the size and location of such treatment of endometriosis can be conducted using various drugs.
hard to say which method is more efficient, so today it is believed that the treatment of endometriosis should be individualized, taking into account the characteristics of the hormonal system of the woman, the localization of fociendometriosis and extent of the disease.
For small lesions sometimes recommended first woman to have a child (unless, of course, work), and then do the treatment of endometriosis.
possibility of infertility
After the treatment can not cure infertility that is most often associated with the adhesion process.So, spikes very often develop in the ovaries and fallopian tubes - they interfere with the exit of mature egg cells into the abdominal cavity and fallopian tubes, and then promote the fertilized egg into the fallopian tube.The latter can lead not only to infertility, ectopic pregnancy and.
In order to avoid the development of adhesions after surgery for endometriosis, a woman is recommended as soon as possible after treatment to get pregnant.If it fails, the method is in vitro fertilization (IVF).In this case, a woman's body is created artificial (medical) controlled the menstrual cycle, in the middle of which is taken from the ovaries mature egg, fertilized with her husband's sperm in a test tube, while watching the embryo, then carefully tended, planted in the uterus.IVF greatly increases the chances of women suffering from endometriosis Endometriosis - a serious problem with serious consequences , pregnant.
It is known that endometriosis occurs against a background of hormonal disorders Hormonal disorders - oversupply and a lack of equally dangerous , when a woman's body produces a lot of female sex hormones estrogen (hormone of the first half of the menstrualcycle) and low female sex hormone progesterone, which supports the second phase of the menstrual cycle and pregnancy.
If pregnancy occurs after treatment of endometriosis progesterone Progesterone - norm and pathology also may not be enough.Progesterone is necessary during this period, especially for suppressing muscle contractions of the uterus.If it is not enough, the muscle layer of the uterus begins to contract and pushes the embryo, that is, there is a spontaneous miscarriage.This is one of the main dangers faced by pregnant women suffering from endometriosis.Including these complications can occur in women with small foci of endometriosis who received no treatment.
In order to prevent a possible miscarriage Miscarriage - whether it can be insured? woman prescribed drugs - analogues of progesterone (utrozhestan, djufaston) during the first and part or all of the second trimester of pregnancy, right up to the times, is not fully earn the placenta, which will provide support for the pregnancy hormone.
possibility of uterine rupture
Such a possibility today after laparoscopic surgery (if endometirioza foci were in the wall of the uterus) is insignificant, but it is still there.In order to prevent this complication and to take adequate measures in time, a woman regularly occasion ultrasound to measure the thickness of the uterine wall.In threatening condition can always spend cesarean section.