As Dr. Ketan Patel explains, endometriosis occurs when endometrial tissue develops inside the pelvic cavity. This tissue can prevent normal tubal function, which helps deliver eggs from the ovaries. Arizona Associates for Reproductive Health provides several treatment options to help patients with endometriosis conceive, including in vitro fertilization, and surgical intervention.View transcript
Endometriosis is a chronic disease, where endometrial, that is uterine tissue, is found outside the uterus into the pelvic cavity. Being a chronic disease, it tends to have scarring or adhesions inside the pelvic cavity. Prevalence of endometriosis in a patient with infertility is almost 25% to 50%. The majority of the patients' endometriosis is symptomatic, though many patients will represent themselves with having a pelvic pain. Endometriosis is thought to affect fertility in many ways. Severe endometriosis is related to the pelvic scarring, which will prevent the normal tubal function which helps to pick up the eggs from the ovaries. Endometriosis is associated with hormonal, ovulatory and implantation abnormalities. In general, patients with endometriosis have a lower fertility rates on their own, as well as within in vitro fertilization. Women with the minimal endometriosis should consider minimally invasive treatment like controlled ovarian hyperstimulation with artificial insemination. Women who've failed minimal treatment and women with severe endometriosis should consider in vitro fertilization. Women with severe endometriosis with ovarian cysts may be a good candidate for surgical intervention too.