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Last Updated: Jun 30, 2022
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Endometriosis & Fertility - Is There A Link?

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Dr. Pooja A KundargiGynaecologist • 17 Years Exp.MBBS, DGO, FMAS
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Endometriosis is a common gynaecological disorder where the tissue lining the uterus grows outside the uterine cavity. Endometriosis is caused most commonly by menstrual blood flowing back into the fallopian tubes instead of leaving the body. This endometrial tissue may then leak into the abdomen through a surgical scar or cut in the uterine lining, leading to endometriosis. Here are five things you should know about this condition.

It is hard to diagnose

The first roadblock to diagnosing endometriosis is that though it is a very common condition, there is a lack of knowledge about it. The classic symptoms include heavy periods, painful bowel movements and urination, depression, fatigue and pain all over the body. The only way to correctly diagnose endometriosis is through a laparoscopy or keyhole surgery.

Endometriosis is not equal to infertility

One of the myths surrounding endometriosis is that it causes infertility. However, this is not true. When treated properly, endometriosis does not affect your fertility, and it is still safe for you to have children. At the same time, you should also know that being pregnant does not cure the condition.

It can reduce your sex drive

One of the symptoms of endometriosis is chronic pain all over the body. This coupled with fatigue and depression can reduce your sex drive drastically. Additionally, the act of intercourse itself also becomes painful for women suffering from endometriosis. This pain can be dealt with through pain relievers, or by experimenting with positions to find the one which is most comfortable for you.

Some women have a higher risk of endometriosis

The exact cause and triggers of endometriosis are still unknown. However, certain factors are said to raise the risk of endometriosis. These are:

1. Genetics: Endometriosis may be passed genetically from generation to generation.
2. Pelvic infections: Scarring of the uterine walls via infections or surgeries can give the menstrual blood that falls back to the fallopian tubes a way out of the uterine cavity, and hence lead to endometriosis.
3. Short Menstrual cycles: Women with menstrual cycles that are shorter than 27 days, or those who have periods that last longer than 7 days are more susceptible to endometriosis than others. However, myths that suggest delayed pregnancy as one of the causes of endometriosis are false.

There is no known cure

The treatment for endometriosis addresses it many symptoms as there is no known cure for the disease itself. Even a hysterectomy will not cure this disease unless it includes the removal of your ovaries as well. Over the counter pain medication may help deal with the muscle aches, while hormonal treatments that slow down the production of estrogen can help with the painful menses. Light exercises such as walking and swimming can also help deal with the discomfort of endometriosis.

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