Endometriosis is a condition that occurs only in women in their fertile life phase. Some women have a few severe complaints with extensive endometriosis, others have a lot of complaints in mild forms. Occasionally, endometriosis is detected by chance, such as in a laparoscopy or other abdominal surgery. In endometriosis, the mucous membrane (endometrium) that coats the inside of the uterine cavity also occurs in places outside the uterus. Endometriosis is not a malignant disease. However, this condition may cause annoying complaints or play a role in reduced fertility. Endometriosis is often seen in the lower part of the abdominal cavity, just below the abdomen. Endometriosis can also occur in the ovaries. Once in a while, the endometriosis is in or on the intestine or in the bladder. The course is hard to predict: in some patients, endometriosis cures itself spontaneously, but not in others. Sometimes endometriosis worsens over the years.
Endometriosis and fertility
During a viewing operation in connection with children's desire, small endometrial sites are often seen on the abdominal wall, which probably have little significance for fertility. Treatment with hormones to increase the chance of pregnancy does not seem useful. That surgical removal of these areas increases the chance of pregnancy is not proven. Sometimes the gynecologist will discuss another hormone supplement. Treatment with hormones aims to mimic pregnancy or transition. The monthly build-up and rejection of the endometrium mucosa (the menstrual period) does not take place. Hormones generally suppress light forms of endometriosis such as small spots on the abdominal mucosa. These sometimes even disappear through treatment. Chocolate cysts (endometriomas) or adhesions do not disappear through hormone treatment. After ending hormone treatment, endometriosis can return and unfortunately bring with it the symptoms.
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