What are the stages of endometriosis which led to infertility?
Systems for classifying or staging endometriosis can better explain through the disease infiltration. With huge milestones in development of better diagnostics and treatments, improved research, and with researchers help standardize communication between medical professionals.
We associate endometriosis with an increased risk of pregnancy difficulties or infertility. Studies have shown that we associate the amount of endometriosis seen during laparoscopy with future fertility.
It is a disorder in which tissue that lines the uterus-endometrium develops outside the uterus. It mostly affects the ovary, fallopian tubes, and tissues surrounding the pelvis.
Therefore, this article describes the different stages, their classification, impact, severity level, which stages are curable or incurable, what steps need to be taken, and the relationship of each stage of pregnancy.
We know the physical and mental pressure parents, especially mothers go through just for a baby that is why we call it a blessing, so here we bring you complete and authentic information and hope it can help someone who needs it and make everyone aware of endometriosis.
The different stages for assessing endometriosis:
Stage I (micro-disease) Endometriosis: Most small implants (specs) for endometriosis with no scar tissue. There is none.
Stage II Endometriosis (Mild Disease): There are many endometriosis implants, but the affected abdomen is less than 2 inches and there is no scar tissue.
Stage III Endometriosis (moderate disease): Endometriosis is very common in the abdomen and can be deep, and endometriosis fluid (chocolate cyst or endometrium) in the ovaries May create a pocket in the uterus. There may be scar tissue around the fallopian tubes or ovaries.
Stage IV Endometriosis: Multiple endometriosis implants, probably large endometriosis cysts of the ovary, probably between the uterus and rectum (lower part of the intestine), and around the ovary or oviduct. Scar tissue.
Therefore, these stages define the serious risks to women and how they affect different parts and go through different processes in each and what preventions or treatment you should take according to your stage.
Surgical treatment of endometriosis and fertility
Women with stage I and stage II endometriosis may become pregnant on their own, while women with infertility who have undergone laparoscopic examination are women who can become pregnant. Medical studies suggest you are more likely to develop an endometrial disease than easily.
It makes sense for young women (under 35 years old) to get rid of visible endometriosis and decide whether to become pregnant. If the woman is 35 years or older, doctors recommend other fertility drug treatments instead of laparoscopy.
For stage III or IV endometriosis, the pregnancy rate after surgery to remove scar tissue or large endometrial cysts is high. If pregnancy does not occur within 6 months of endometriosis surgery, they should discuss other fertility treatments. This may include hormone and other blood tests and checking your partner’s sperm count.
Treatment depends on the stage of the patient’s endometriosis.
To increase the chances of pregnancy, they gave the fertility drug clomiphene citrate for 5 days immediately after the start of menstruation. When an egg is released from the ovaries (ovulation), the male partner masturbates in a sterile cup to produce a sperm sample.
Professionals took semen to the fertility test room for processing. The woman then comes to practice inserting sperm into the uterus through a thin tube during ovulation. Doctors do this during a microscopic examination and feel similar to the Papanicolaou test.
If this treatment fails after about 3 months, the next steps are 1) use of fertility medicine injected with IUI or 2) in vitro fertilization.
Stage III-IV Endometriosis
In vitro fertilization is recommended if pregnancy does not occur within 6-12 months after surgical treatment of moderate-to-severe endometriosis. Sometimes, the fallopian tubes may become clogged, or the scar tissue may be very noticeable.
In vitro fertilization (IVF)
Before starting this treatment, your doctor will do an age and hormone test to explain if in vitro fertilization is effective.
This treatment requires a woman to inject a small amount of fertility drug. This causes many eggs to grow in the ovaries in the pockets of fluid called follicles. We observe these follicles on blood and ultrasonography.
They perform it under a mild sedative (anesthetic). They removed the grown egg from the vaginal wall with an ultrasonic guide needle that is inserted into the ovary. This process takes about 10 minutes.
A few days after they removed the egg from the ovary, the woman returns to the fertility clinic where one or several embryos are inserted into the uterus in a thin tube during microscopic examination.
Stages of fertility
As the severity of these stages increases, endometriosis can give the impression that it begins first in one part of the body and then spreads to more distant organs, like cancer. There is sex.
However, endometriosis can be widespread from the beginning and does not grow like cancer. Health says Hugh Taylor, Vice President of the American Society of Reproductive Medicine and chairperson of Obstetrics, Gynecology, and Reproductive Sciences at Yale School of Medicine.
“If someone wants to get better or worse after treatment or surgery, or if you want to compare one surgery to another, you really need a system and formula that works like some kind of quantitative comparison,” Dr. says Taylor on the step.
For example, the stage of endometriosis does not correlate with how badly infertility or chronic pain affects women. This also means it does not provide guidance on how to treat endometriosis in patients with different stages.
Awareness is the key to better treatment of endometriosis
Clinical signs of illness with no surgery among doctors to reduce the time to diagnose and treat endometriosis There is a movement to recognize.
A typical sign of endometriosis is a painful period, which then develops into pain that continues beyond the menstrual cycle. A physical examination may show a cyst, and ultrasonography may show that an organ, such as the uterus, is pulled or tilted to a particular side. This shows that scar tissue has formed.
We know it is a painful and stressful procedure, but with little care, support and guidance, everything can be back on track. One should know they do have endometriosis and at which stage they are at getting the right treatment at the right time.
Reference-https://www.healthline.com/health/endometriosis