Can you get pregnant with endometriosis?

Endometriosis is a common gynecological disease in women. After contracting the disease, patients will experience symptoms such as dysmenorrhea, abnormal menstruation, and infertility. Although it is not easy to get pregnant with endometriosis, women should know that as long as the disease is cured, they can still get pregnant normally. The treatment of endometriosis is divided into drug treatment and surgical treatment, and patients can choose according to their own situation.

Endometriosis is a common gynecological disease in women caused by the implantation of active endometrial cells outside the endometrium. Endometrial cells should grow in the uterine cavity, but because the uterine cavity is connected to the pelvic cavity through the fallopian tube, endometrial cells can enter the pelvic cavity through the fallopian tube and grow ectopically. There are many theories about the pathogenesis of this disease, among which the endometrial implantation theory is widely accepted. This disease mostly occurs in women of childbearing age. It does not occur before puberty, and the ectopic lesions may gradually atrophy and degenerate after menopause.

The main pathological changes of endometriosis are periodic bleeding of ectopic endometrium and fibrosis of surrounding tissues, forming ectopic nodules. Dysmenorrhea, chronic pelvic pain, menstrual abnormalities and infertility are its main symptoms. The lesions can affect all pelvic tissues and organs, most commonly the ovaries, rectouterine pouch, and uterosacral ligaments, but can also occur in the abdominal cavity, thoracic cavity, limbs, etc.

(1) Dysmenorrhea Dysmenorrhea is the most typical symptom of endometriosis. It is secondary and progressively worsens. It usually starts 1 to 2 days before menstruation and is most severe on the first day of menstruation. It gradually decreases and disappears when menstruation is over. In severe stages, the pain is unbearable, and even increased doses of painkillers are ineffective. The pain is caused by internal bleeding in endometriosis lesions stimulating local tissue inflammatory response. At the same time, the endometriosis lesions secrete more prostaglandins, causing uterine muscle contractions, and dysmenorrhea is bound to be more significant.

(2) Menstrual abnormalities may manifest as excessive menstruation or irregular menstruation. Most of the menstrual abnormalities are related to the impact of endometriosis on ovarian function. Patients with endometriosis may experience ovarian dysfunction, such as abnormal ovulation.

(3) Infertility: Endometriosis patients often suffer from infertility. The infertility rate among endometriosis patients is 40% to 50%. This is mainly because endometriosis can often cause adhesions around the fallopian tubes, affecting the pickup of oocytes; or because ovarian lesions affect ovulation.