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Why Does Endometriosis Cause Infertility?

Infertility can be one of the consequences of endometriosis. Women with the condition are not only dealing with a debilitating disease but they are also in fear of not being able to have children.

But it’s not at all as gloomy as that. Not all women who have endometriosis are infertile. If all women who had endometriosis were infertile, birth rates would drop considerably and a rush to find successful treatment for this disease would, hopefully, be implemented.

Endometriosis Facts

Endometriosis is a condition in which the lining of uterus (known medically as endometrium) grows at the wrong place — naturally, the lining should be found in the inner layers of the uterus, but for those suffering from the disorder, the lining actually grows outside the uterus and may extend to adjacent organs such as the ovary, fallopian tubes, the pelvic area, or even the bowel and the bladder.

These displaced tissues continue to perform their function: the lining thickens, breaks down and sheds according to the monthly menstrual cycle. The problem is, the shed menstrual “blood” has nowhere to go, causing internal bleeding, pain, inflammation and even forming abnormal tissues such as cysts, scars and adhesions (tissues that bind organ together).

How common is Endometriosis?

It is believed that around 5.5 million girls and women in the US and Canada suffer from varying degrees of endometriosis, and millions more women worldwide. Yes, it is actually a relatively common disease.

What causes Endometriosis?

The cause of endometriosis is still unknown but the medical community has been working hard to reveal its secrets. Here are a number of theories:

Theory #1: during the monthly period, some of the menstrual tissue backs up. Possibly due to an immune system problem or hormonal imbalance, the tissues begin to grow in the women who then develop endometriosis;

Theory #2: The tissue is carried from the uterus to the surrounding organs through the lymph or blood system;

Theory #3: It’s genetic;

Theory #4: It's environmental. The Endometriosis Association has also found a link between dioxin (TCCD) exposure and the development of Endometriosis, which could be one of the causes of the disease.

Symptoms of Endometriosis

Extremely painful periods (medically known as Dysmenorrhea). Obviously, many women experience menstrual cramps and there is nothing to worry about. However, if you suffer tremendous pain, especially when the pain extends before and after the periods, it may be an indication of Endometriosis.
Excessive bleeding. Heavy period (Menorrhagia), or bleeding between period (Menometrorrhagia)
Pelvic pain.
Pain during intercourse.
Other abnormal pain, such as painful urination and / or bowel movements during periods.
Other symptoms include fatigue, diarrhea, constipation and nausea.

Severity of Endometriosis

According to the American Society of Reproductive Medicine (formerly the American Fertility Society), Endometriosis can be divided into the following stages based on the location, size, and amount of the endometrial implants:

Stage I – minimal
Stage II – mild
Stage III – moderate
Stage IV – severe

Please note that the level of pain or symptoms present may not reflect the actual stage a woman is experiencing.

Endometriosis and Infertility: Is there a relationship?

Yes. Around one-third to one-half of women with endometriosis have problems getting pregnant.

Not surprisingly, chance of fertility success decreases as the severity of the disorder increases: As more lining tissues accumulate, especially around reproductive organs such as the ovary and fallopian tubes, blockages and adhesions will make fertilization very difficult. Because of this, it is generally much easier for women with Stage I and Stage II Endometriosis to get pregnant after treatment.

How is endometriosis treated?

To address the problems with infertility and endometriosis and achieve successful pregnancy may require a combination of treatments. This means correcting hormone imbalances that have been directly caused by endometriosis; then to repair the structure of the reproductive organs.

- natural therapies to rebalance hormones, boost the immune system and diminish active endometriosis

- changing the diet to achieve optimum health

- possibly combined with surgery to correct damage to the structure of the reproductive organs

Natural and Alternative therapies can work wonders to restore health and bring the body back into balance, but surgery may be required to repair damaged tissue and organs caused by endometriosis, to restore them close to their original function.

Endometriosis is a disease that can be corrected with mutual assistance from various types of health professionals. An OB-GYN doctor can assist with the physiological elements, including surgery. A holistic doctor can help to rebalance hormones and prevent recurring attacks. A yoga specialist can help you to realign your energy. An acupuncturist can be beneficial in restoring the energetic balance that is necessary to have balance and health between the body and energy systems.

If you can find a medical doctor (MD) who also has holistic training, all the better! You *can* have a healthy pregnancy after endometriosis, though you might need to take a more active role in your health regimen.

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