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Doctor insights on: Sequence Of Events In A Woman With Endometriosis

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Is it possible for a woman with endometriosis and antiphospholipid syndrome to get pregnent?

Is it possible for a woman with endometriosis and antiphospholipid syndrome to get pregnent?

Absolutely: Endometriosis can affect fertility and apls can affect miscarriage. So the two affect different parts of the process. If you know you have both of them, then you should definitely seek fertility care at least for an evaluation to see how the endomeriosis is affecting things. And you would likely want to take Lovenox (enoxaparin) at a certain point just before or during pregnancy. ...Read more

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Dr. Michael Traub
1,230 doctors shared insights

Endometriosis (Definition)

An abnormal condition where the lining tissue of the uterus, is located outside the uterus. The displaced tissue, just like the tissue lining the uterus, bleeds during each menstrual cycle. Endometriosis can be very painful, and can result ...Read more


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Can a woman with endometriosis still ovulate and become pregnant ?

Can a woman with endometriosis still ovulate and become pregnant ?

Yes: Endometriosis is not related to ovulation defects. Severe cases of endometriosis can affect fallopian tube function. In the overwhelming majority of cases it does not. Since you are 18 consider taking birth control to avoid pregnancy and help with endometriosis. ...Read more

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How much does a womans fertility decrease when having endometriosis?

How much does a womans fertility decrease when having endometriosis?

A lot: Endometriosis is present in about 3% of women, but in fertility clinics about 60% patients may have it. Therefore endometriosis can definitely affect fertility. Endometriosis can cause adhesions, tubal blockage, defects with ovulation, increased inflammation, decreased egg quality, etc... Surgery for endometriosis, more specifically endometriomas, can also affect your ovarian reserve. ...Read more

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How would I know for sure if I have endometriosis without a doctors help? And do all cases of endometriosis end with the woman unable to bear children

How would I know for sure if I have endometriosis without a doctors help? And do all cases of endometriosis end with the woman unable to bear children

Laparoscopy only: The diagnosis of endometriosis is only able to be confirmed by direct visualization (and ideally excisional biopsy) using a minimally invasive outpatient surgical technique known as laparoscopy. This can be done with minimal recovery and downtime. Endometriosis is not detectable by pelvic exam, pap smear, cat scan, mri, or ultrasound. Most women with endometriosis, properly treated, can have kids. ...Read more

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How long does it take a woman to become infertile when having endometriosis or is it quick?

How long does it take a woman to become infertile when having endometriosis or is it quick?

This varies: This is a very individualized question. Endometriosis is definately associated with infertility. But it is unclear what degree of it is needed to impair fertility. Some women have very mild implants of endometriosis yet cannot conceive. If you were diagnosed with the condition, it does not mean you are fated not to concieve. It is a long process of evaluation and follow up. Just stay encouraged. ...Read more

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What is the best HRT for a menopausal woman who has had endometriosis?

What is the best HRT for a menopausal woman who has had endometriosis?

Patch: There is no correct answer to that question, but probably an estrogen patch will be of most benefit. And if you have a uterus, probably continuous Progesterone will be of some benefit in helping to suppress any residual endometriosis. But there are many different ways to go about this. ...Read more

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Can endometriosis make a woman more moody during her period?

Can endometriosis make a woman more moody during her period?

Not really: Pain can make you irritable. There is a condition called premenstrual dysphoric disorder that is a more severe form of pms not due to endometriosis, and that could be the reason you are moody. Can be treated, keep a log of your emotions in relationship to your menses and go see your gyn for treatment. ...Read more

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Can endometriosis of the ovaries cause permanent infertility in a woman?

Can endometriosis of the ovaries cause permanent infertility in a woman?

No: Ovarian endometriosis (called endometrioma) is associated with infertility but some women will not have a problem. We try not to remove the ovarian endometiomas these days because we may make the fertility potential worse. Medical therapy usually will not make them go away if they are over 1-2cm. Discuss your situation with your rei for options and stay positive. ...Read more

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Can u determine if a woman has endometriosis with a cervical cancer biopsy?

Can u determine if a woman has endometriosis with a cervical cancer biopsy?

Endometriosis: No. Endometriosis is the abnormal presence of endometrium (see microscopy picture) outside of the inner uterine cavity. The tissue deposits on the ovaries, fallopian tubes and surrounding organs causing scarring, infertility and pain. Proper diagnosis is established by laparoscopic exam and sampling of the suspicious tissue. ...Read more

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How is menopause diagnosis in a woman who is on birth control for the tx of endometriosis?

How is menopause diagnosis in a woman who is on birth control for the tx of endometriosis?

Check on placebo: Your MD could check an FSH level towards the end of your placebo week, although it could miss it. You are awfully young to be looking at mean pause, although premature menopause can happen. If you were going trough premature menopause, the most likely treatment would be low dose OCPs, which you are on. ...Read more

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How many eggs can be retrieved (average) on 150ml gonal f (follitropin alfa) per day for mid ovarian reserve woman age 32 with endometriosis?

Very difficult to : Say exactly. Not knowing anything about your history makes this difficult but in general we start with 225 total units of gonadotropins and in a 32 year old with endometriosis the range is wide: 0-15. I am not a fan of giving a precise number becuase there are so many variables involved... ...Read more

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Is an IUD a good birth control option for me? I'm a married, childless woman with endometriosis and do Crossfit 5x a week.

Is an IUD a good birth control option for me? I'm a married, childless woman with endometriosis and do Crossfit 5x a week.

Yes: A skilled gynecologist should be able to insert an IUD (like Mirena) with minimal pain, and safely. This is a good treatment for endometriosis, and the IUD will not affect your Crossfit. You might feel like taking the day off from Crossfit for insertion, though. ...Read more

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Is a uterus size 9x4x5cm witj a hemging cyst size18x9x13 normal with endomertiom of 6mm thicnkness in a 32 year old woman. That has endometriosis ?

Is a uterus size 9x4x5cm witj a hemging cyst size18x9x13 normal with endomertiom of 6mm thicnkness in a 32 year old woman. That has endometriosis ?

Depends: If you mean 18mmX9mmX13mm then yes, but if the measurement was cm (centimeters) then that's very large and needs to be addressed. A hemorrhagic corpus luteum (cyst that forms after ovulation) is normal and 18 mm (millimeters) in size is quite normal. Your endometrial thickness is fine as is your uterine size. ...Read more

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What arethe possible side effects of using letrozole to attempt to treat endometriosis in a pre-menopausal woman without added birth control/hormones?

Endometriosis: Without question and without delay you must make an appointment to see a Gynecologist. If possible prepare a brief list of the medical issues you have had recently. That will help the doctor take good care of you. Please keep me posted. ...Read more