Endometriosis and adenomyosis can sometimes impact fertility, making it more challenging to get pregnant. 30-50% of those with these conditions will have difficulties in conceiving. We understand that if you’re hoping to start or grow your family, these conditions can add an extra layer of complexity and concern. We’re here to provide compassionate care and guide you through the options available.
How Can Endometriosis Affect Fertility?
Endometriosis can affect fertility in several ways:
- Distorted Pelvic Anatomy: Endometrial deposits and adhesions can distort the pelvic organs, making it difficult for the egg to travel from the ovary to the fallopian tube and for sperm to reach the egg.
- Inflammation: Endometriosis creates an inflammatory environment in the pelvis, which can interfere with ovulation, fertilisation, and implantation.
- Damage to Eggs or Sperm: The inflammation and other factors associated with endometriosis may damage eggs or sperm, making fertilisation less likely.
How Can Adenomyosis Affect Fertility?
The impact of adenomyosis on fertility is less well-understood than that of endometriosis, but it’s thought to be related to:
- Changes in the Uterine Environment: Adenomyosis can alter the structure and function of the uterus, making it difficult for a fertilised egg to implant and grow.
- Inflammation: Similar to endometriosis, adenomyosis can create an inflammatory environment in the uterus, which can interfere with implantation.
What if I Have Endometriosis or Adenomyosis and Want to Get Pregnant?
If you have endometriosis or adenomyosis and are hoping to conceive, it’s important to discuss your options with your doctor. Here are some things to consider:
- Severity of the Condition: The impact of endometriosis or adenomyosis on fertility can vary depending on the severity of the condition. Mild endometriosis may not significantly affect fertility, while severe endometriosis can make it more challenging to conceive.
- Age: Age is a significant factor in fertility, and those with endometriosis or adenomyosis may want to consider trying to conceive sooner rather than later.
Treatment Options
- Expectant Management: Many women with endometriosis and adenomyosis are able to conceive naturally without any intervention. It’s important to consider your individual circumstances including age, symptoms and fertility goals to determine if expectant management is the most suitable course of action.
- Surgery: Laparoscopic surgery to remove endometrial deposits can sometimes improve fertility.
- Fertility Treatments: If surgery is not successful or if you have more severe endometriosis or adenomyosis, fertility treatments, such as in vitro fertilization (IVF) may be a more appropriate option and can bypass some of the fertility challenges associated with these conditions.
