Endometriosis is a medical condition that is believed to cause infertility among a large percentage of infertile women (approximately 25 to 50 percent). Endometriosis is characterized by an excessive buildup of endometriotic tissue in areas outside the uterus. This tissue often bleeds and becomes inflamed, leading to pelvic scarring and adhesions. It is these endometriotic cysts and lesions and this scarring that produce the symptoms of endometriosis, including pelvic cramping, painful urination, diarrhea, painful intercourse, and fatigue. These symptoms generally reoccur monthly in line with the menstrual cycle.
Endometriosis in a woman's pelvis can produce scarring and adhesions and can hinder the ability of sperm to reach the egg, impede the process of fertilization, and also prevent implantation of the fertilized egg in the uterus. Where significant scar tissue is present in the fallopian tubes, it is unlikely that sperm can pass through to successfully to reach the egg. Even when sperm do reach the egg, fertilization may be unlikely in such a hostile environment. If fertilization does occur, peritubal scarring from endometriosis may prevent the resulting embryo from successfully traveling through the fallopian tube to the uterus for implantation.
We offer both surgical and non-surgical endometriosis treatment at our Manhattan fertility center. With OFRM, the first step of treating endometriosis is to ensure proper diagnosis. Endometriosis symptoms often overlap with a variety of other medical conditions, including pelvic inflammatory disease. To this end, Dr. Schmidt-Sarosi may need to perform a laparoscopy to confirm the diagnosis and to remove endometriotic lesions, cysts, and scarring via laser techniques. Dr. Schmidt-Sarosi may also recommend fertility testing at her Manhattan center to establish any other causes of infertility before recommending treatment.
Endometriosis treatment will vary depending on the classification of the disease, as well as a variety of individual factors, including age, symptoms, and plans for achieving pregnancy. It is often possible to eliminate the symptoms of endometriosis with drugs (hormonal therapy). This is an appropriate treatment for endometriosis but may not resolve infertility in patients with endometriosis. In certain cases where endometriosis is suspected but symptoms are mild, it is also useful to take a wait and see approach.
Surgical Endometriosis Treatment
For moderate to severe cases of endometriosis, surgery is often the best option. Conservative surgery (laparoscopy) is an ideal treatment for women who wish to become pregnant. If surgery fails to treat infertility associated with endometriosis, other types of infertility treatment can be explored, including ovarian stimulation with fertility drugs. Our Manhattan fertility specialist, Dr. Cecilia Schmidt-Sarosi, also performs more invasive surgery (hysterectomy) for those who have no plans to become pregnant. Hysterectomy with removal of both ovaries is the only potentially permanent treatment for endometriosis.
If you would like to find out more about our New York Endometriosis Infertility Treatment & New Jersey Endometriosis Infertility Treatment services, please contact OFRM today.
51 East 67th St at Park Ave
New York, New York 10021
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