Endometriosis

There is a close relationship between endometriosis and infertility. It is a disease that can be seen in about 2 of all women and it is seen in 0 of those who cannot conceive. In other words, endometriosis is more common in women who have difficulty in getting pregnant. 

The name endometriosis is prepared every month for the placement of pregnancy, and if pregnancy is not done with menstrual bleeding from the inner membrane of the uterus known as Endometrium. Endometriosis consists of the presence of this tissue called the endometrium in different places from where it should be normal. It is mostly located in ovaries, fallopian tubes, peritoneal membrane that covers the abdominal cavity. This tissue is affected by hormones in the same menstrual period and causes symptoms and complaints of the disease. 

In endometriosis disease, each month, together with menstruation, bleeding causes release of many chemicals and causes severe menstrual pains, intra-abdominal and tube adhesions, and pain in the relationship. It may interfere with the function of the fallopian tubes by adhering to the tubes and may reduce the chance of conception. In addition, it is thought that ovo quality may deteriorate in Endometriosis disease and the chance of pregnancy may be reduced by affecting the internal environment of the uterus negatively. 

It can also lead to the formation of an Endometrioma Cyst called a chocolate cyst in the ovaries, which destroys the ovary and weakens its ovarian capacity. Surgery for these cysts may further impair the ovarian capacity. Therefore, not all chocolate cysts are operated immediately. Bilateral surgery may adversely affect the chances of conception, as this will further impair the ovo reserve, especially in patients with already low ovo reserves. However, surgery can be considered if the patient does not have fertility problems and has severe pain.

Chocolate cysts can be diagnosed by ultrasonography, but the diagnosis of endometriosis without cyst is not easy. Final diagnosis can only be made by direct observation and pathological examination. Laparoscopy is the best way for this. 

Although there is no definitive treatment for endometriosis, pregnancy is the best way to regress or even improve. Especially in patients who are planning to conceive but who have difficulty in getting pregnant, it is best to refer directly to one of the reproductive techniques with appropriate assistance to the patient. IVF Treatment is a convenient way in cases where other options fail.

Hormonal therapies, surgical interventions, and pain therapies may be considered in patients who do not consider pregnancy.