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  1. #1
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    Default How does endo affect getting pregnant?

    Hi girls, I'm just wondering how endometriosis affects our chances of getting pregnant if the endo is not on or around the Fallopian tubes? I haven't been diagnosed with endo but I have heard of people still having it with little or no symptoms so I'm thinking it could be a possibility and maybe a reason why we are having no luck. How does it affect the chances of getting pregnant though? I don't know a lot about it but I can't understand how something on the outside of our reproductive organs would affect conception? I understand if it has damaged the tubes but does anyone have any further info on how endo can make it harder to conceive? What does it actually do that makes it harder to comceive? My periods are quite normal except I have slightly longer cycles at 35-39 days, apart from that I don't really have any symptoms. Thank you!

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    Default How does endo affect getting pregnant?

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    Hi Hummingbird,

    I once asked this very question of my FS. He had performed my lap surgery and removed some mild endo in the process. I'd never had any symptoms, so this news came as a surprise to me. In my post-op consult he said my chances of success were much better having had the endo removed. Apparantly there are some special cells (cytokines) within the endo tissue that transmit 'messages' to the uterine lining and this interaction somehow affects implantation of the embryo. Sorry, I don't know the full specifics of the biochemistry involved so I can't give you a better explanation than that.

    Also, if the endo is located around your ovaries it can cause diminished ovarian reserve and in turn this may affect your response to IVF stimulation drugs (if you move onto IVF).

    That said, plenty of ladies seem to get UTD naturally or with IVF despite having endo. It is a leading cause of female infertility, but the impact is very different from person to person.

    If you want to rule it out as a factor in your case, ask for a laparoscopy. Endo is not visible on ultrasound unless it is severe.
    Last edited by SimpsonDesert; 20-02-2013 at 10:34.

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    Default How does endo affect getting pregnant?

    Thanks simpsondesert - it's all so technical. I wish they could diagnose endo without having a laparoscopy, I'm not sure if I would want to put myself through that just to rule it out. But then I guess if they found something I would be glad I did!

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    A lap is not too bad. The incisions are tiny and within 3-4 days you start feeling normal again. Within one week I felt fully recovered and within 2 weeks I was back into vigorous exercise. As well as ruling out (or treating) endo, there is also a post-lap 'fertility spike' to take advantage of.

    However, it is definitely not something to rush into if you are young and TTC <18 months. Its rarely one of the first things an FS will do, they tend to investigate the basics first before suggesting a lap. By the time I had mine we were TTC 6yrs and had 3 failed IVF cycles, so we were getting desperate and wanted to rule out EVERYTHING by that stage. Hopefully you never have to reach that point.


 

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