Endometriosis is a chronic disease that affects millions of women in the world. Endometriosis is when the endometrium normally placed inside the uterus is found outside of its natural place. This tissue may be localized in the ovaries, fallopian tubes, in the ligaments that hold the uterus, on the surface of the uterus and in the peritoneum, which is the tissue that lines the pelvic cavity. You can also find these lesions in other locations such as the bladder, cervix, vulva, the intestines and on surgical scars.
The tissue that is outside of their natural site develops in a cyclic fashion as well as the normal endometrium. Each month this tissue grows and flakes off but has no outlet to the outside and accumulates, causing some injuries that produce inflammation, pain, scar tissue, adhesion and infertility.
The symptoms of endometriosis are often pain before and during the menstrual period, pain during intercourse, infertility, pain during urination and sometimes bowel symptoms such as pain during bowel movements, diarrhea, or constipation.
It is estimated that 0-40% of women with endometriosis have fertility problems. The endometriosis produces anovulatory cycles (cycles where the women don’t ovulate and therefore makes it impossible pregnancy), a decrease in fertility of the oocytes and a hostile environment for embryo implantation.
We have extensive experience with women who have endometriosis, and we will evaluate your case and we will advise you if it is worth have inpatient surgery and what treatment is appropriate for achieving a pregnancy.