Endometriosis is a very common gynecological condition affecting women in their reproductive years. The cause of endometriosis is still controversial, and the condition involves endometrium (cells making up the internal lining of the uterine cavity), for unknown reasons, growing outside the uterus, most commonly on fallopian tubes, ovaries, bowel, and the pelvic tissue linings.
Like the endometrial lining in the endometrial cavity of the uterus, this extra-uterine growth is affected by the patient’s monthly hormonal cycle, first thickening and then shedding the superficial layer with her menstrual cycle. However, within the peritoneal cavity, the resulting bleeding does not have an exit route. The woman’s immune system sees the bleeding as an “open wound,” and treats it as such, causing scarring, in a process similar to the healing after a skin cut. Over time, accumulation of scar tissue, therefore, causes adhesions and sometimes severe pain if close to nerve fibers. When impacting the fallopian tubes, endometriosis can also negatively impact fertility and outcomes of infertility treatments Your doctor has treatment options for endometriosis-related infertility please take an appointment for consultation