Endometriosis

Gynecologic Conditions That Can Cause Infertility

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If you’ve been trying to conceive for a while and haven’t had any luck, you may be wondering if there’s something wrong with you. Believe it or not, there are several gynecologic conditions that can cause infertility, but also are treatable. In this post, we’ll briefly review a few of the conditions and treatment options. So, if you’re concerned about your fertility, read on!

Endometriosis

Endometriosis is a condition in which the tissue that normally lines the inside of the uterus grows outside of the uterus. This can cause inflammation and scarring, which can lead to infertility. Treatment for endometriosis may include medication, surgery, or both.

PCOS

PCOS, or Polycystic Ovary Syndrome, is a condition that can cause irregular periods, excess hair growth, and insulin resistance. PCOS is one of the most common causes of infertility. Treatment for PCOS may include medication, diet, and lifestyle changes.

Uterine Fibroids

Uterine fibroids are non-cancerous growths that develop in the uterus. They can cause heavy bleeding, pain, and infertility. Treatment for uterine fibroids may include medication, surgery, or both. 

Uterine Septum

Uterine Septum is a condition in which the uterus is divided by a wall of tissue. It’s actual an abnormality that is present since birth and otherwise known as a Mullerian Anomaly. This can cause infertility by preventing implantation as well be the cause for recurrent miscarriages. Treatment for uterine septum may include surgery to remove the septum.

Uterine Isthmocele

A Uterine Isthmocele is a defect on the lower uterine segment at the site of a C-section scar. This can result in menstrual blood accumulating inside the isthmocele leading to an inflamed uterine lining. The defect can be an obstruction to future implantation.

To repair this defect, a Uterine Isthmocele Resection is performed. During this procedure the isthmus, or middle portion of the uterus, is removed.

Hydrosalpinx

Hydrosalpinx is a condition in which the fallopian tubes are blocked by fluid. This can cause infertility and recurrent miscarriages. Treatment for hydrosalpinx may include surgery to remove the blockage.

If you’re struggling with infertility, don’t give up hope. While these gynecologic conditions may represent some of the causes of infertility, many of them are treatable. Once treated, fertility can often be possible. Are you struggling with one of these conditions and interested in exploring your options? Contact my office to schedule an appointment today!

Endometriosis: Is Surgery Necessary?

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Endometriosis is a condition that affects many women. It occurs when the cells from the endometrium, the lining of the uterus, grow outside of the uterus and get stimulated by your monthly cycle. Several symptoms can be caused by endometriosis, such as pelvic pain, painful cycles, painful intercourse, and infertility. While there are medications available to help treat endometriosis, some women may need surgery as well. In this blog post, we will explore whether surgery is necessary for treating endometriosis and discuss the different types of surgery available.

There is no one-size-fits-all answer when it comes to treating Endometriosis. No two women are alike, and many factors must be considered when evaluating treatment options. Such considerations are as follows:

·       Severity of Symptoms

·       Extent of Disease

·       Pregnancy Intentions

·       Overall Health and Medical History  

In most situations your doctor will likely suggest conservative, non-invasive treatment options before recommending surgery for diagnosis and treatment. First line therapies are generally non surgical options, such as Non-Steroidal Anti-Inflammatory Drugs (NSAIDS) and hormonal therapy.  Depending on symptoms and goals of treatment, surgery can be considered. Endometriosis is a disease that can have a direct impact on other organs, leaving surgery as the only treatment option. 

There are different types of surgery available to treat Endometriosis. The type of surgery performed will depend on the severity of the disease and where it is located. The two surgical approaches used to treat Endometriosis are:

·       Laparoscopic (with or without robotic assistance) : An endoscope (small tube with camera on the end) is inserted through a tiny incision. The surgeon can then see inside the pelvis, visualize the Endometriosis and remove it, either by the use of an electric current or laser.

·       Laparotomy: A larger incision is made in the lower abdomen and the surgeon removes the Endometriosis. Previously, this was the only type of surgery available for Endometriosis Excision. It is now only done in rare cases.

Each type of surgery has its own risks and benefits. Your doctor will be able to discuss these with you in more detail and help you decide which surgery is best for you. If surgery is necessary, be sure to discuss all of your options with your doctor so that you can make an informed decision about the best course of treatment for you.

Does Surgery Cure Endometriosis?

Sadly, surgery is not always 100% and does have associated risks. Depending on goals of treatment and post surgical management, some women will experience recurrence of their symptoms. The reasoning behind reoccurrence can vary depending on clinical context. However, one thing you do have control over is choosing an experienced gynecologic surgeon.  You want an experienced surgeon who has an expertise in the surgical management of Endometriosis, improving the success rate of treatment.

If you are experiencing any of the symptoms associated with Endometriosis, please see your doctor. There is no need to suffer in silence. Treatment options are available and getting an accurate diagnosis is the first step on the road to recovery. In need of an experienced gynecologic surgeon? Call to schedule a consultation with me today! We’ll explore your options for treatment and set you on a path for healing!