Endometriosis And Pregnancy

Millions of women worldwide suffer from endometriosis. In endometriosis, the endometrial tissues grow outside the uterus, into the fallopian tubes, ovaries, bladder, pelvis and other regions in the abdominal cavity.

Normally, when the egg fails to fertilize, the endometrium or the lining of the uterus is eliminated from the uterus through menstrual bleeding.

However, the endometrial tissues growing outside the uterus could not be eliminated through the monthly menstrual bleeding. The abnormal implants cause inflammation, pain and internal bleeding.

Endometriosis is an extremely painful condition.

Endometriosis And Pregnancy

Although endometriosis might reduce fertility in women, studies have shown that nearly 80 per cent women with endometriosis could conceive. However, one in five women with severe endometriosis would require fertility treatment to conceive.

Causes of fertility problem in women with endometriosis


Scarring in the inner wall of the fallopian tube might prevent transportation of the egg from the ovary to the uterus. Ovulation might be impaired by scarring caused by growth of endometrial tissues in the ovaries.

Faulty immune response

The immune system of women with endometriosis might consider the sperm and the fetus as foreign bodies. The immune cells might attack the sperm or the embryo, preventing fertilization and increasing the risk of miscarriage.

High prostaglandin level

The endometrium secretes the hormone prostaglandin. Prostaglandin aids ovulation and uterine contraction during childbirth. Women with endometriosis might have abnormally high levels of the hormone prostaglan`din. Excess prostaglandin increases the risk of miscarriage.

Painful intercourse

Painful intercourse might force a woman to avoid sex, hence preventing conception.


Women with endometriosis could conceive with the help of infertility treatment. If ovulation does not occur naturally, certain ovulation inducing drugs could be taken for a prolonged period. Often along with ovulation inducing medications, washed intrauterine insemination is recommended for women with endometriosis.

In intrauterine insemination, sperm is directly injected into the uterus. A woman suffering from endometriosis could even get pregnant with the help of in-vitro fertilization. In addition, a healthy lifestyle, reducing stress and a nutritious diet could aid conception.

Pain linked to endometriosis might decrease during pregnancy. However, after delivery and breastfeeding, the pain might return.