Can You Have a Baby With Endometriosis?

If you have heard that having endometriosis makes it difficult to conceive and give birth, it is definitely true. Yes, it is difficult, but not impossible. Let’s learn more. Can you have a baby with endometriosis?

Why Endometriosis Affects Pregnancy

Endometriosis is a condition where the tissue lining of the uterus known as endometrium is located outside the uterus. It can be on or around other reproductive organs like the Fallopian tubes, ovaries, and pelvis creating scar tissue and adhesions. This causes tissue to stick together making it much harder to get pregnant.

These growths lead to inflammation and scarring. The inflammation makes it more difficult for the sperm and egg to join up and for the embryo to implant in the uterus. 

In addition, there are increased risk factors for complications during pregnancy like placental abruptions which is when the placenta detaches from the uterus before birth. Other risks include preterm birth, low birth rate, and miscarriage.

A study from 2022 said that 35-50% of women with endometriosis are infertile.

Other reason endometriosis makes it difficult to conceive include:

• Fallopian cysts: They block the release of eggs from their follicle and the passage of eggs into the fallopian tubes.
• Pain during sex: This reduces the ability to even have sexual intercourse.
• Decreased egg quality

What Are Symptoms of Endometriosis?

If you are planning to become pregnant and have any combination of these symptoms, contact our board-certified OBGYNs for an evaluation and diagnosis.

• Pain during sex
• Pelvic pain
• Painful heavy and irregular periods
• Constipation and/or diarrhea
• Fatigue
• Bloating

Getting Pregnant With Endometriosis

Many women with endometriosis have no problems conceiving and have perfectly normal births.  Don’t let a diagnosis stop you from pursuing a family.

If you are struggling with infertility due to endometriosis, there are some options to investigate. 

A woman living with endometriosis can still get pregnant using in vitro-fertilization (IVF) as long as her ovaries are still producing eggs. Sperm and egg are removed from the inflammation environment and are joined in a petri dish. 

Intrauterine insemination along with fertility drugs can help you become pregnant.

Other treatments can be surgical or via non-surgical meds. Medical management includes hormone suppression, contraceptive pills, progesterone, and various other medications. Surgery involves the removal of the lesions.

Start by discussing the advantages and disadvantages of your options with our OBGYNs. Our doctor can also recommend resources for you to review and help with your decision. 

Contact Associates in Women’s Health at (402) 697-7200 for help with endometriosis symptoms and fertility in Omaha, NE.

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