May 3, 2022


August 9, 2022

Endometriosis and Pregnancy: What to Expect

Endometriosis can make it harder to conceive, but having this condition doesn't mean you should rule out pregnancy.

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The scariest thing about endometriosis and pregnancy is not knowing what to expect. Most people with endometriosis are able to have a health, uncomplicated pregnancy.

Endometriosis is a condition where tissue that normally lines the inside of your uterus (womb) grows outside your uterus. It is estimated that 176 million women and girls worldwide are affected by endometriosis, and an estimated 11% of American women aged 15-44 have endometriosis. Although these e growths aren't dangerous, they are painful, and can affect a woman's ability to get pregnant.

What causes endometriosis?

The exact causes of endometriosis is unknown, but many experts think that it can be caused by: problems related to period flow, genetic factors/family history, hormones, and issues with the immune system.

Who's at risk for endometriosis?

Endometriosis can take affect anytime during menstruating age, but often times happens when women are in their 30s and 40s. It is also more common in white and Asian women. You may find yourself for a higher risk of endometriosis if: you've never had children, your menstruation lasts longer than seven days, your menstrual cycle is shorter than 27 days, you have a family history of endometriosis, or you have a health problem that blocks normal blood flow during your menstrual cycle.

Signs and symptoms of endometriosis

The classic symptoms of endometriosis include chronic pelvic pain and infertility. Endometriosis can cause a wide range of symptoms that may be related to organs outside the pelvis, including pain and discomfort in other areas of the body.

Symptoms of endometriosis include:

  • Intense menstrual cramps
  • Chronic aching in lower back or pelvis
  • Intestinal discomfort
  • Painful bowel movements
  • Pain during or after sex
  • Digestive problems such as diarrhea, constipation, bloating or nausea
  • Trouble getting pregnant

What are my chances of getting pregnant with endometriosis?

According to the American College of Obstetricians and Gynecologist, almost 40% of women who struggle with infertility have endometriosis. That being said, women with endometriosis can still conceive, though it may take longer or be more difficult. Some women have no problem getting pregnant. Most women with mild endometriosis are not infertile, in fact, an estimated 70% of women with mild to moderate endometriosis will get pregnant without any medical treatment.

Most providers recommend seeking help at the six-month mark if still unable to get pregnant. If you are having trouble, your doctor will before an evaluation to access your fertility. They may recommend a procedure to remove or damage the growths to increase fertility, but if this is not enough they may suggest IFV or IUI. Most women who have endometriosis can expect to have a C-section.

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