Endometriosis is a very common disease in women. It will have varying degrees of impact on physical health, and it will also have some impact on pregnancy. It will affect women’s normal pregnancy, and may also Causes danger and is extremely harmful to health. So why does endometriosis affect pregnancy? Let’s learn more about it below.

1. Endometriosis spreads to the pelvis

Patients with endometriosis may have endometriosis spread to the pelvis, resulting in pelvic masses and adhesions. However, This adhesion will affect the position of the uterus, the shape of the fallopian tubes, and restrict the function of the uterus and fallopian tubes, making it difficult to conceive and making ectopic pregnancy more likely to occur.

2. Endometriosis to the ovary

When endometriosis reaches the ovary, ovarian function will be limited, endocrine abnormalities will occur, and ultimately the development of follicles will be affected. , maturity and even lead to non-ovulation, making it difficult to get pregnant and causing infertility. If the patient itself has endocrine disorders, it will aggravate the degree of endometriosis, causing a vicious cycle and leading to long-term infertility.

3. Endometriosis in the fallopian tube

If endometriosis is in the fallopian tube, it will cause blockage of the fallopian tube, worsening of fallopian tube function, and ultimately affecting the combination of sperm and egg. , the fertilized egg cannot enter the uterine cavity smoothly, infertility or ectopic pregnancy occurs.

4. Affecting sperm implantation

For patients with endometriosis, the internal environment of the uterine cavity itself is abnormal, and the internal environment of the uterine cavity is abnormal. Changes can also affect the implantation of a fertilized egg, leading to infertility.

5. Precautions

Through the above-mentioned reasons why endometriosis affects pregnancy, we clearly know that endometriosis can affect women’s pregnancy, so Du Yu Women with endometriosis must seek medical treatment in time, adjust their emotions, maintain an optimistic attitude, enhance the body's immunity, and strive for an early cure.

6. Treatment of endometriosis

1. Surgical treatment: The earliest treatment for endometriosis, it is still one of the main methods. Treatment is mainly suitable for those with severe illness or severe pain who are ineffective in drug treatment;

(1) Conservative surgery: only the endometriosis lesions are removed, and the ovaries and uterus are retained. It is suitable for young people who want to preserve their fertility. About 50%-60% can become pregnant after surgery. However, the pain recurrence rate is high;

(2) Semi-radical surgery: remove the uterus while removing the ectopic lesions, and at least part of the ovaries must be preserved. It is suitable for those who have given birth, are over 35 years old, have stubborn pain, or are accompanied by uterine lesions. Semi-radical surgery can cure dysmenorrhea, and the chance of recurrence of ectopia after surgery is very small.

(3) Radical surgery: Removal of bilateral appendages and uterus can radically cure endometriosis and is suitable for menopausal women; in recent years, laparoscopic surgery has been widely carried out to treat endometriosis. , all surgeries that can be done by laparotomy can be completed by laparoscopic surgery. In addition, laparoscopic surgery also has the advantages of less trauma, faster recovery, and less postoperative pelvic adhesions.

2. Drug treatment: suitable for those with mild illness and small ovarian chocolate cysts. The course of treatment is generally 6-9 months. If used as auxiliary treatment before and after surgery, the treatment period can be shortened to 3-6 months.

(1) Danazol, although side effects are common, most of them are not serious and there is no need to stop the drug. Occasionally, for those with excessive liver function, the drug should be stopped promptly and given liver-protective treatment;

(2) Neimeitong has mild side effects and is convenient to take;

(3) ) Progesterone drugs, such as Fukang Tablets, Funing Tablets, medroxyprogesterone, etc., are suitable for those who have a heavy financial burden and cannot take Danazol or Neimeton. However, the effect of promoting fertility is small, and they should be taken regularly during the medication period. Check liver function;

(4) Contraceptive pills: such as Compound 18A, please note that the estrogen in contraceptive pills can stimulate the growth of uterine fibroids, so those with fibroids should use with caution;

(5) Gonadotropin-releasing hormone agonists, long-term use may cause osteoporosis. Suitable for menopausal women, especially those with uterine fibroids;

(6) Tamoxifen, which does not inhibit ovulation, has good effect in relieving dysmenorrhea, has few side effects, and has poor effect on signs of ectopia, so it is suitable for Those with severe symptoms but mild signs;