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Getting Pregnant with Endometriosis

Written by: Andrea Reh, M.D.

Andrea Reh, M.D., of SGF's Fredericksburg, VA office
Andrea Reh, M.D., of SGF’s Fredericksburg, VA office

Lena Dunham’s recent press about her struggle with endometriosis brings this common condition to the spotlight. So, let’s say you have endometriosis, now what should you do and what are the treatment options for getting pregnant with endometriosis?

There are several factors that help us to make decisions about your treatment. Whether or not you have pain and whether or not you are trying to conceive are important questions that guide your treatment options, and which type of doctor might be best for you. Getting pregnant with endometriosis is very possible for most women. While endometriosis may make it harder to conceive on your own, your chances of getting pregnant with endometriosis can be high, depending on the severity of your condition, your age, your overall health, and your treatment options.

Since endometriosis can take many forms, and the success rates of treatments vary, your doctor will outline your best treatment options with an individual plan for you.

I have pain, but I’m not trying to get pregnant yet.

If you are experiencing pain because of your endometriosis and you are NOT trying to conceive, your gynecologist can prescribe a variety of hormonal medications that can help alleviate the pain. If medications are unsuccessful, you may want to consider having surgery if you have not done so before, and we would recommend doing so in the hands of a surgeon who is experienced in endometriosis—and laparoscopy in general. This may be your gynecologist or another experienced surgeon.

If you know you want to have a baby at some point, but not right now, then you should also be aware that there are options to preserve your fertility through egg freezing at this point in time. Recognizing that the number of eggs a woman has will decrease over time, and recognizing that endometriosis does tend to worsen with time, many women are now choosing to proactively freeze their eggs in the event that their endometriosis threatens their fertility in the future. Also, while laparoscopic surgery can help to reduce the pain associated with endometriosis, it can also negatively affect your ovarian reserve. Therefore, freezing your eggs prior to surgery ensures you have options in the future. This is a conversation to have with a fertility specialist who can best guide you in your decision making process.

I have pain, and I’m trying to get pregnant.

For any woman who has or suspects endometriosis and is seeking to get pregnant, we recommend seeing a fertility specialist sooner rather than later. With proper counseling and care, the chances of getting pregnant with endometriosis are high for most women.

The first step prior to treatment is to complete a full infertility work-up to identify any other potential challenges such as age or male fertility issues that the couple may experience when trying to conceive. A fertility specialist can help you rule out other health issues and determine which treatment options are best for you, depending on the severity of your endometriosis and if any other factors are present that may make trying to conceive more difficult. As women age, treatment options tend to narrow—even if your endometriosis is mild—so we suggest seeking help sooner rather than later.

If you have already been diagnosed with endometriosis, patients with pain from endometriosis who are trying to conceive can sometimes feel like they are in a catch 22. They have to stop the hormonal medication that is providing them with pain relief, but then they feel an additional sense of urgency—not to mention discomfort—if they don’t conceive in a given month. For patients with pain from endometriosis, they might consider having surgery to alleviate the pain, which can buy a window of time in which they can hopefully conceive. Seeking consultation with a fertility specialist prior to such a decision can be helpful to maximize the chances of pregnancy after surgery. After surgery, we may decide to pursue fertility treatment to expedite pregnancy, with either medications like clomiphene citrate (Clomid or Serophene) with an intrauterine insemination (IUI) or even in vitro fertilization (IVF).  The good news is that once a woman is pregnant, her pain from her endometriosis usually subsides during the pregnancy itself.

I’ve already had surgery for endometriosis, should I have more surgery?

While surgery can be helpful in alleviating pain, we have to be careful not to continue to operate every time a cyst develops, because with each excision to the ovary, we are also losing healthy eggs. Also, additional surgery does not increase the chances of pregnancy after IVF.

I have no pain, and I’m trying to get pregnant.

The puzzling part of endometriosis is that the degree of disease does not always correlate with the degree of pain that a patient experiences. Some women only have infertility as a consequence of endometriosis, and do not have any pain at all. For these women, the benefit of surgery is less clear, but fertility treatment can be very helpful. This could be either medication to stimulate the ovaries combined with an IUI or IVF.

For more information about getting pregnant with endometriosis, or for more information about egg freezing to help preserve your family-building options for the future, please speak with one of our New Patient Liaisons at 1-877-971-7755 or click to schedule an appointment

14 Comments

  1. SRM

    March 17, 2016 - 8:48 pm
    Reply

    You can only be treated for endometriosis if your doctor does a full exam and tests you for the condition. At Shady Grove, my doctor ran no tests and concluded that I needed IVF without any diagnosis. He was like pay me $20k and I will get you pregnant. I left Shady Grove, and am working with a new doctor who ruled out all possibilities before she made a fertility recommendation. I do not recommend Shady Grove to anyone after my experience. My doctor was towing the bottom line looking to make money for himself and the company. He had absolutely no interest in helping me.

    • Shady Grove Fertility

      March 29, 2016 - 2:02 pm
      Reply

      Hi SRM,
      Thank you for sharing and we apologize for your poor experience. It is not the typical protocol for a patient to not undergo any tests prior to treatment so we would like to better understand what happened so we can prevent it from happening again. Please email Kasey.Nichols@Integramed.com so we can better assist you.

  2. Shah

    March 18, 2016 - 4:05 pm
    Reply

    this article is not helpful at all. Not only from Shady article any article about endometriosis is not helpful. this is a very sad for people like me who already had endometriosis had surgery and also did three times IVF and they all fail. plus five IUI and no result. I think this is all marketing and they still don’t have any solid study for endometriosis suffering women.
    Moreover, when we go for IVF or IUI we will develop cyst and it will be painful and talk about healthy eggs doctor will not tell you that once you will have surgery you will lose all good eggs. I regret having surgery I wish I could of take the harmon now I can only wish.

  3. Kimberly Hall

    November 26, 2016 - 9:37 pm
    Reply

    I have been trying to get pregnant for 6 years of been married. My husband and I have been seeing fertility specialist. We have done our best but no luck. My husband has a sperm count which goes up and down, the doctor has recommended him taking the Proceed supplement which he is doing over 3 years with no change in the situation .. I am was so confused until i contacted this powerful spiritual woman advised by my friend, so I contacted her and I told her all about my problem, so she agreed to help me, she prayed for me and she sent me some native herbal medicine, which i use, she told me to meet with my husband.. within a 2 weeks i used the medicine she sent me i was uneasy with my self, i started having morning sickness and hormonal changes. I immediately went to the my doctor and it was confirm that I was pregnant.. all thanks to Iya Basira for helping me and my family, i am now a proud mum of a baby boy… Do you need help of such kind then contact Iya Basira, she can definitely help you. this her email address nativeiyabasira@yahoo.com

  4. Jolie Robin

    December 17, 2016 - 3:14 pm
    Reply

    I am here to share this testimony on how me and my husband was able to be become parents. we tried for so many years to get a child of ours but there was no success of child bearing. We went to different hospitals but they keep saying the same thing that i was the problem and my husband was perfectly okay. One day i decided to try traditional and spiritual help, i contacted a woman who i came across on the internet called Iya Basira i ask her for help and she told me that i was the cause of me inability to bear a child. I became more confuse and worried and at this time my husband was making moves for a divorce. I told the woman everything and she decided to help me, she told me she is going to help me by praying for and given me traditional medicine to drink, that i will be blessed with a child. At the end of the day i followed her instructions, because i wanted my husband to see it as a miracle because he was a strong christian. I did all she ask me to do and i got all the results i needed without my husband knowing and today am a mother. Thanks to mother Iya Basira i will forever be grateful. i will drop her contact here anybody needs her help also nativeiyabasira@yahoo.com

    • sofi

      February 10, 2017 - 5:59 am
      Reply

      Really happy to hear. I am also in same situation as like you. For 6 years we trying to get pregnant. But no result. Also i went one laparoscopy before 4 years. But no use. Please help.

  5. Elizabeth Barton

    January 4, 2017 - 8:17 am
    Reply

    My name is Elizabeth am here to tell my wonderful story of how i got my positive result after having numerous miscarriages for 4 years,i was frustrated and lost all hope.I never thought that there will be a wonderful herbal doctor because the rate of fraudsters in the internet today has gone high not until i contacted this great IYA HINDI NATIVE who helped me with some root and herbs syrup that made me conceive and got my triplet in the exact time…all thanks to IYA HINDI NATIVE for his wonderful works,he is really a true helper.You can contact him on. hindinative@yahoo.com .

  6. Juliana Rivera

    April 7, 2017 - 6:07 pm
    Reply

    I would like to share my success story to every woman out there trying to conceive, My husband and I have been trying to have a child since we got married June 2013 and nothing happen so i was online searching for a solution when i come across a comment of a lady talking about Iya Hindi Root and herbs that she use and she got pregnant with it so decided to give a try to Iya Hindi herbal Medicine product for one month and i got a positive result i became pregnant .Our son is now 10 months old and we are so blessed! We thank God everyday for our precious gift.I will definitely recommend Iya hindi native to anyone who is also searching for a solution to Contact him .( hindinative@yahoo.com ) .Please continue with your good work to make more couples happy.

  7. Kimberly peterson

    July 31, 2017 - 6:56 pm
    Reply

    I am 36 I been having problems Carrying a child I’m guessing due to endometriosis. I have had the larascopy done once about for five years ago. I’m getting ready to do a second can u please help me

  8. Bev Sadie

    August 21, 2017 - 5:52 pm
    Reply

    Hello and thank you for a thoughtful, well-articulated article. I am wondering where to get the best expertise in the DMV area for pain management (or other NON-contraceptive treatment) for primary dysmenorrhea in a young patient that had no endometriosis visible by laparoscopy, but does not tolerate hormonal treatments. Unfortunately years of going doctor to doctor has been a nightmare for this particular patient since most providers are focused on types of birth control and these are not viable for this patient for a variety of reasons (side effects from Mirena, allergy to glue in the patch, high risk family history of breast cancer etc). Luckily this patient is a lesbian and therefore does not require birth control for contraceptive purposes, but she does want to have children a few years from now and so the last resort at this point is going to be hysterectomy with egg freezing followed by IVF using a surrogate and a donor. So far all the many doctors and supposed experts can’t seem to wrap their brains around all this unusual but perfectly reasonable information to then provide a viable treatment plan. Your advice is very much appreciated.

  9. Daphne

    November 28, 2017 - 10:42 am
    Reply

    Dear Priest, My husband and I are going to the doctor today as I found out to be POSITIVE yesterday. I am in tears as I write these words. I am sure you get plenty of letter like this every day but I just wanted to thank you for sending me the pregnancy herbs from your temple and for giving hope to women at my age. I am 46 and I am finally going to be a mother. May god bless you and your family.
    http://tinyurl.com/yan8vwtq

    Daphne Silvertsen – Ohio, USA

  10. elizabeth

    December 25, 2017 - 11:10 am
    Reply

    Hello everyone am Elizabeth from USA i have been married to my husband for 7years without no issue. on this faithful day, i decided to check the internet for updates on healthy living and i came across a story of a man who Dr ODIA helped his wife to conceive a baby. i decided to put a try because this has been my greatest problem in life. today i am a proud mom. words will not be enough to explain what this man did for me. his medicine for pregnancy really help me conceive i noticed i was pregnant on the 7th day after using the root and herbs he send for me. i am a happy mother today, the pride of my family, a miracle in my town. i know there is someone in same condition and you feel there is no way. i urge you to contact him via email (odiaherbalcenter @ yahoo. com) This is the solution to every single mother around the world he will surely make your dreams come through, and also give your own testimony.

  11. Kristana Brret

    January 6, 2018 - 9:04 pm
    Reply

    Hi My name is ‘Kristina Barret just want to share my experience with the world on how i got my husband back and saved my marriage… I was married for 7 years with 2 kids we lived happily until things started getting ugly, a point where he filed for divorce… I tried my best to make him change his mind & stay with me because i loved him so much didn’t want to loose him but everything just didn’t work out… he moved out of the house and still went ahead to file for divorce… I pleaded and tried everything but still nothing worked. The breakthrough came when someone introduced me to this wonderful, great spell caster who eventually helped me out… I have never been a fan of things like this but just decided to try reluctantly cause I was desperate and left with no choice… He did special prayers and cast a return back spell on him… 48hours he called me and was sorry for all the emotional trauma he had cost me, moved back to the house and we continue to live happily, the kids are happy too and we are expecting our third child. I have introduced him to a lot of couples with problems across the world and they have had good news… Just thought I should share my experience cause I strongly believe someone out there need’s it… You can email him via: babaalikahealinghome @ yahoo. com.

  12. Joan Richard

    January 11, 2018 - 1:55 am
    Reply

    ALL THANKS TO DR ODIA WITH HIS HERBAL ROOT AND HERBS AM COMPLETELY CURED FROM FIBROID
    I can’t believe this. A great testimony that i must share to all fibroid patient in the world. i never believed that their could be any complete cure for fibroid with out going for surgery ,i saw people’s testimony on internet on how Dr ODIA prepare herbal root and herbs that shrink there fibroid naturally. i had to try it too i contacted him on: odiaherbalcenter@ yahoo. com. and him told me how to get his herbal medicine, and you can,t believe that in just few weeks i started using it all my pains stop gradually . Right now i want to tell you all that i just give birth to a baby boy last month,and on till now i have not had any pain, and i just went for text last week and the doctor confirmed that there is no trace of any fibroid in my system. after 8 year of suffering from fibroid am now free, Glory be to God for leading me to this great Dr ODIA I am so happy as i am sharing this testimony. My advice to you all who thinks that their is no herbal cure for fibroid that is Not true ,just contact him and get cure his email odiaherbalcenter@ yahoo. com and you will be free and free forever, Try it and you will not regret it because it truly works. i hope to see your testimony soon

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