It is the presence of endometrial-like tissue outside the uterus, triggering a chronic inflammatory reaction. Mostly the pelvic organs and peritoneum are affected by this condition. In the size of the disease, normal pelvic organs can range from a few small lesions to large endometriotic cysts, i.e., endometriomas.
What kind of complaints does the endometriosis patient describe:
Dysmenorrhea is a gynecological disease defined as painful menstruation that interferes with daily activities. It could be a sign of endometriosis. Pain, cramp-like, intermittent nausea, vomiting and diarrhea are also seen from time to time.
Deep dyspareunia is a condition in which women describe pain during sexual intercourse. Some women describe this pain as a feeling of pressure, tearing, burning in the genital area. It can be called a pain problem in sexual intercourse. It can be one of the indicators of endometriosis.
Chronic pelvic pain,
Endometriosis can also be a cause of infertility in cases where the woman cannot conceive despite the inability to have a baby, regular and unprotected intercourse for a year. Infertility can also be considered a symptom of endometriosis. In such cases, the patient should consult an IVF specialist and be followed up for endometriosis and supported to perform IVF treatment if necessary.
Dysresia, pain in defecation. In other words, cracks in the anus are called small tears and cracks that cause pain, bleeding, and itching in the skin covering the anus area. Generally, the crack starts superficially and recovers rapidly. Sometimes it can become chronic.
Severe pain may occur in cesarean scars.
In women with endometriosis, mild to moderate spontaneous fertility rates are 5-10% in one month. In severe endometriosis, the probability of spontaneous pregnancy is 3%. It is significantly lower, to be less.
Medical management in endometriosis and infertility:
Suppression of ovarian function is minimal to improve infertility. Mild or severe endometriosis is not effective. It may be necessary to make a decision with a good follow-up. It can come back as damage rather than a wound.
Surgical Treatment Method:
It can increase the chance of pregnancy, but egg reserve is an important factor in IVF treatment. A clear decision should be made after the examination with the physician.
IVF treatment help:
Intrauterine insemination, ie vaccination with gonadotropins, is not recommended in minimal and mild endometriosis.
If the egg reserve is low, in vitro fertilization can be performed without opting for endometriosis surgery.
Hormonal treatment can be done before IVF treatment.
Surgical treatment of endometriomas can be performed laparoscopically before IVF treatment.