Skip to content
Includes Expert Content
TTC with Endometriosis
avatar
An_242187 posted:
What are my chances of conceiving and carrying a child to term with possibility of advanced Endo?
Was this Helpful?
0 of 0 found this helpful
Reply
 
avatar
DUKE MEDICINE
David K Walmer, MD, PhD responded:
Endometriosis is associated with infertility at all stages. With minimal endometriosis the cause of the infertility is not known. There is some evidence that the presence of endometrial cells in the peritoneal cavity leads to an inflammatory response that may not be an ideal environment for eggs. However, there are a number of theories that still need to be investigated. With advanced endometriosis, patients often develop pelvic adhesions that can decrease the amount of communication between the tubes and ovaries. Other patients develop large ovarian cysts and also limit the amount of ovarian surface that is accessible to the fallopian tubes. Infrequently, the distal fallopian tubes can become blocked. That said, as long as some eggs can find their way from the ovaries to the fallopian tubes it is possible for a woman to get pregnant. In vitro fertilization is an ideal therapy for women with advanced endometriosis because it bypasses the peritoneal cavity where the endometriosis resides. Once pregnant, women with advanced endometriosis often do very well. In fact, the high progesterone state of pregnancy is very similar to the hormonal states that we employ to treat endometriosis in women who are not pregnant. I hope this helps.


Featuring Experts

David Walmer, MD, PhD is a reproductive endocrinologist and infertility specialist at Atlantic Reproductive Medicine Specialists . During his 25 year...More

Helpful Tips

EWCM-EGG WHITE CERVICAL MUCUS
HIE ALL We had been ttc for 4 months now but we had no luck,i was ovulating right on time and we were bding religiously on the days but ... More
Was this Helpful?
6 of 6 found this helpful

Related News

There was an error with this newsfeed

Related Drug Reviews

  • Drug Name User Reviews

Report Problems With Your Medications to the FDA

FDAYou are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.

For more information, visit the Duke Fertility Center