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Center for Reproductive and Fetal Medicine

ENDOMETRIUM AND INFERTILITY

ENDOMETRIUM AND INFERTILITY

Endometriosis and Infertility: Understanding and Management

Endometriosis is a condition that affects about 10% of women aged 25-40, the time when many women start trying to have children. The disease occurs when cells similar to those found in the endometrium (the inner lining of the uterus) grow outside the uterus, causing problems.

These tissues usually appear in the pelvic area, where they can attach to the fallopian tubes, ovaries, and outside of the uterus. In some cases, the tissue can also be found in other parts of the body. Symptoms of endometriosis include:

  • Severe cramps during periods
  • Increased menstrual flow
  • Pain during intercourse
  • Painful emptying of the bladder or bowel during periods
  • Pain on the back
  • Gastrointestinal problems such as diarrhea, constipation and nausea

 

Treatment of Endometriosis

Endometriosis is the cause of infertility in 24%-50% of women diagnosed with it. In mild to moderate cases, infertility is often temporary. Surgical removal of the tissue can restore fertility. Despite surgeries that relieve symptoms, there is no definitive cure and symptoms may return.

Treatment of endometriosis may include:

  • Monitoring: If the symptoms are mild.
  • Hormonal therapy: Birth control pills, birth control patch or vaginal ring to control estrogen.
  • Hormone blockers: To stop the production of estrogen by the ovaries.

 

Infertility and Endometriosis

When treating infertility caused by endometriosis, the Reproductive Medicine Specialist may use surgery and IVF. Surgery can improve the chances of conception in mild to moderate cases and restore fertility even in severe cases. IVF is the best option for severe cases of endometriosis.

The causes of endometriosis

The exact causes of endometriosis remain unknown, but there are several hypotheses:

  • Genetic factors
  • Disorders of the immune system
  • Previous abdominal surgery
  • Hormonal imbalance

 

Ask for Endometriosis Help

Endometriosis research continues and there are many promising developments. If you experience symptoms of endometriosis or suspect you have it, see your doctor. Early diagnosis can help preserve your fertility.

For more information and specialized treatment for infertility, contact the Center for Reproductive Medicine & Fetal Medicine ”Dr. Alexander Trajan". We are here to support you on your journey to starting a family.

Center for Reproductive and Fetal Medicine

Effective doctor-patient communication is vital to providing high-quality health care. Any communication regarding your medical profile (getting results, instructions, answering questions, concerns) will be done directly with the doctor. This means no midwife or secretary will interrupt your conversations. Instead, if you call with any concerns, they will be there right away to address your needs. Contact us by calling 694 649 8771 or by completing the relevant Contact Form.

Dr. Alexandros Traianos

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FREQUENT QUESTIONS

The association of IVF drugs with cancer risk is a major concern for women enrolled in these programs. But the plethora of bibliographic reports collected from credible scientific studies and published in reputable medical journals worldwide are reassuring and do not confirm this concern.

Of course not. In about a third of cases, infertility is due to the woman (female factor), while in a third of cases, it is due to the man (male factor). The remaining one-third is due to both (both men and women) or even to unknown factors.

The quantity and quality of a man's sperm can be affected by his health and lifestyle. Some factors that can reduce the quantity and / or quality of sperm are:

  • the alcohol
  • drugs
  • environmental toxins, including pesticides and lead
  • smoking
  • health problems
  • medicines
  • radiotherapy and chemotherapy
  • the age

Success rates vary at each IVF Center. Very important factors are also the age of the woman, the levels of her hormones and of course the sperm of the husband. Rates generally range from 45% or slightly higher for women up to 35 years old.

Infertility is defined as the failure to conceive after one year (or 6 months, if it is a woman over 35) with normal, regular sexual intercourse. In other words, when a year passes without the woman becoming pregnant, the couple should consult their doctor to determine the cause of the pregnancy and then treat it. We must all, however, be aware and not forget that the age factor is the most critical for female fertility and that the individualized approach of each couple is the "golden key" that solves the problem.

The number of treatment cycles a woman can undergo is not specified. It is certain that in our country there are high level obstetricians-gynecologists and organized infertility treatment centers, which offer impeccable medical services at this level. If there are correct indications (eg ovaries that respond to stimulation therapy, good quality endometrium, etc.) the success rate -especially with the use of newer techniques and biotechnological drugs, which show increased bioactivity compared to conventional drugs from urine- totals approximately 65%-70% after 4 cycles of treatment.

At the Center for Reproductive Medicine of Dr. Traianos we offer egg / sperm cryopreservation services for those who have a personal or medical reason and need this service. We use the most modern vitrification technique in the freezing of sperm and eggs.

The collection of eggs takes 10-15 minutes, it is not painful, it is done under intoxication and after the end of the process you return to your activities.

In general, experts agree that the fact that a couple has already had a child can be considered proof that there is no infertility problem in the first place. It is like a small test that has been done and proves that they "made it" at least once. On the other hand, however, we must be aware that things may have changed in the meantime and a problem may have arisen (e.g. the man may have suffered some inflammation, which affects the quality of his sperm or something has intervened that affects female fertility: an inflammation, a gynecological surgery, an abortion, etc.).

In any case, if a reasonable period of time (one year) passes and a couple is unable to achieve pregnancy, then they should, with the help of their doctor, investigate whether there has been a problem causing infertility.