Endometriosis and Fertility

Kathryn, 29, had recently been diagnosed with endometriosis. Not knowing much about the condition, she started asking her friends and co-workers if they knew anything about it. One woman said her sister had endometriosis and was infertile. Kathryn had always wanted children one day and was devastated to think that this was no longer possible.

Endometriosis affects up to 10 per cent of women of child-bearing age. It is a condition where endometrial tissue, which normally lines the uterus, grows outside the uterus by mistake and attaches to other tissues or organs. Symptoms of endometriosis include heavy, painful or irregular periods, abdominal, back or pelvic pain, bowel or bladder problems, and premenstrual symptoms. For some women, the most distressing symptom is reduced fertility – having endometriosis can make it difficult to get pregnant.

Some newly diagnosed women may worry that they may never have children. This is not necessarily true – only 30 per cent of women with endometriosis experience fertility problems. In these cases, having the endometrial tissue removed surgically via a laparoscopy can increase the chances of falling pregnant naturally. If surgery is unsuccessful, in vitro fertilisation (IVF) can be an option, however it is important that the endometriosis is properly treated first as IVF treatments can aggravate the condition.

The good news is that women with endometriosis who do become pregnant often report that their symptoms are alleviated during pregnancy as they are no longer menstruating.

Unfortunately, the effect is usually temporary and symptoms will often reoccur after the baby is born and periods return. Hormonal therapies (such as the Pill) may be used as a maintenance treatment option after pregnancy however this is not suitable for women trying to conceive.

If you have endometriosis or experience the symptoms of endometriosis, see your health practitioner for advice about appropriate treatment options.

8-12 March is Endometriosis Awareness Week. For more information about endometriosis, visit www.endometriosis.org.au.

Source: Published with the permission of the Jean Hailes Foundation for Women’s Health