Doctor insights on:
Can You Get Endometriosis After Having Children
39 year women w/o child would like children Still has ovulation but has diaphragmatic endometriosis. Need to make decision. Remove it or get pregnant?
Why either/or?: You might consider doing both, in whatever sequence you desire. Removing the troublesome area or areas may delay pregnancy, but by 40, women's risk of adverse outcome through age alone is just 1% above that of younger women. You may want to meet with a genetic counselor to identify any family, health and age specific risks and decide based on full knowledge of the possibilities.
Absolutely: It used to be taught that endometriosis patients had not only pain but infertility. However I have seen many patients who had neither and were still found to have significant endometriosis. The only way to confirm - and properly treat - endometriosis is to perform excision (surgically cutting out) of the implants or nodules using laparoscopy. This provides visual/pathology confirmation.See 1 more doctor answer
Endo: In short we don't know. There are some theories that suggest that endometriosis occurs because of back bleeding through the fallopian tubes into the pertoneal cavity and the body is not able to digest this blood for which reason endometriosis develops. Most women have retrograde menses but only about 10 percent may get endometriosis due to a faulty immunological system.See 1 more doctor answer
Endometriosis: Endometriosis is a bening disease defined by the presence of endometrial glands (lining of inside the uterus) outside the uterus and its associated with pelvic pain, painful menstruation and infertility. The disease tends to progress and recurrs. Any female with menstruation can develop endometriosis.
Yes: There are definitely indications for trigger point injections in women with chronic pelvic pain (CPP) which can include endometriosis. While endo itself is not treated with trigger point injections, the CPP syndrome that results can lead to myofascial pains and pelvic floor dysfunction that will respond to trigger point injections. In some cases it is a very good treatment.
Yes: Endometriosis is associated with infertility, although not considered a direct cause by its presence. The long term effects of endometriosis can cause infertility by adhesions and scarring of the tubes. If you had problems conceiving before, you may or may not them this time. The only true way to determine if conception is possible is to try.See 1 more doctor answer
Yes you will: Follow up with your ob/gyn doctor, the disease is manageable and you would be able to conceive, good luckSee 1 more doctor answer
Excisional Surgery: In our experience, excision of endo is curative. In many repeat surgeries (over 100), endo was found only in 2 patients. This finding supports the embryologic theory of endo development. Endo is likely fully expressed by mid to late teens. From our findings, endo found later at surgery was likely missed or incompletely treated at the first surgery as is common with cautery or laser.See 1 more doctor answer
Endometriosis: The ultrasound should let you know if you have a endometrioma (cyst from endometriosis) in your ovary. It won't help if you have scar tissue or other types of endometriosis. Those can only be identified surgically.
Possible: Endometriosis does run in families, but by no means does that mean that you will inevitably get it. Let's keep our fingers crossed that you don't!
Does endometriosis always affect your fertility? I'm only 20 and would like to have children at some point, am I better doing this soon
No: Approximately 40-45% of women with infertility problems have endometriosis. However many woman conceive with endometriosis, and after surgical or medical treatment. The goal of tx is to preserve your reproductive organs w/out damage to increase success of conceiving, also helping with the pain. Don't jump into trying to conceive until your emotionally, financially prepared to have children.
I don't really have other symptoms for endometriosis except for sex not feeling good, and at times, feeling painful. Should I still get checked out?
- Talk to a doctor online
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