For those of you who suffer from endometriosis, maybe feeling anxious if you can't get pregnant will envelop yourself. The good news is, you still have the opportunity to get pregnant with endometriosis, although it's not easy. So, what ways can be taken by women who have endometriosis in order to get pregnant?
Overview of endometriosis
Endometriosis is an abnormal condition when the tissue that is supposed to cover the uterine wall (endometrium) grows outside the uterus. The endometrium generally will experience thickening towards the time of ovulation (release of the egg) to prepare the presence of a prospective fetus to attach to the uterus in the event of fertilization. If there is no fertilization, the endometrial tissue will decay so that menstruation occurs.
But in the case of endometriosis, endometrial tissue that grows outside the uterus also decays during menstruation. It's just that, because it is not in the womb, endometrial tissue cannot get out through the vagina like other normal tissues.
As a result, the network that cannot come out will settle in the surrounding tissue so that over time it will cause inflammation, cysts, scar tissue, and eventually cause symptoms.
What is the right way to get pregnant with endometriosis?
Many women think that when they have endometriosis, it will be difficult for them to have offspring. Although this disease attacks the reproductive system, it does not mean you cannot get pregnant.
Because according to G. David Adamson, MD, an endocrinologist and director of The Palo Alto Medical Foundation's In Vitro Fertilization, said that as many as one third of women with endometriosis can get pregnant naturally even without fertility treatment at all.
But if you want to try fertility treatments, citing from the Healthline page, there are some usual ways doctors recommend that women who have endometriosis can stay pregnant.
1. Infertility medicine
Intestinal fertilizers are usually given to help provide an additional boost for follicle development so that the body can ovulate and then produce some mature eggs. For example, is the clomiphene drug, in pill form.
Clomiphene works by inhibiting the release of the hormone estrogen, so the body will increase the production of the hormone FSH. Furthermore, FSH will stimulate follicles in the body to grow and develop. This follicle then triggers the work of the ovary to release more eggs.
However, if you have taken this medicine for 6 months and there has been no change, your doctor may advise you to switch to another method.
Because in some cases, uterine fertilizers may not be too effective at increasing the chances of pregnancy compared to several other methods.
2. Intrauterine insemination (IUI)
If the method for using the uterine fertilization drug has not received maximum results, then the next recommended method is to use intrauterine insemination. This is one option that can be tried by women who want to get pregnant with endometriosis.
Note that the woman still has a normal fallopian tube, a mild endometriosis stage, and the partner has good sperm quality.
Intrauterine insemination works by choosing the best quality sperm, then the sperm will be inserted into your uterus through the cervix using a catheter. Next, the sperm will move and find its own way to find an egg cell that is ready to be fertilized.
3. In vitro fertilization (IVF)
Many women who are pregnant with endometriosis eventually take in vitro fertilization or IVF. This program is often recommended for women who have moderate to severe endometriosis.
The IVF program works by uniting the mature eggs with sperm to be fertilized, then the results of fertilization called the embryos will be incubated for several days.
The healthiest embryo is then inserted into the uterus to continue its growth and development in your body.
In essence, it's good to always consult the problems that occur in your reproductive organs with your doctor. Especially if you have the desire to get pregnant with endometriosis.
Usually, the doctor will provide treatment regarding the reproductive organs and fertility treatments that are appropriate for your body condition.
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