We all know that endometriosis is particularly prone to cause infertility, but it is not absolute. Once pregnancy occurs, endometriosis can be well treated. However, many women with endometriosis are always prone to worry and concern once they become pregnant, fearing that it will affect the baby's health. Let us now understand what to do if you get pregnant with endometriosis? What to do if you are pregnant with endometriosis 1. Why does endometriosis cause infertility? ? Endometriosis affects pregnancy from every stage of ovulation, fertilization, and implantation of the fertilized egg. Ovulation stage: For some patients, when the follicle is formed and matures to the point of ovulation, luteinization occurs, and the follicle is ultimately not released. However, basal body temperature testing and ovulation test strip testing are the same as normal ovulation. The hormone secretion of the ovaries is the same as normal ovulation. B-ultrasound also showed that the ovaries were gradually maturing. But it atrophies and becomes luteinized in situ. Egg transport link: Some patients with endometriosis will develop pelvic adhesions, fallopian tube adhesions or even obstruction. The fallopian tubes are not functioning properly and cannot transport sperm to the designated location to meet the egg. Fertilization stage: Patients with endometriosis, especially those with dysmenorrhea, have a relatively poor internal environment in the abdominal cavity and the presence of a large number of inflammatory factors, which are harmful to sperm and fertilized eggs and will devour sperm and fertilized eggs. Implantation link: There is a theory called endometrium determinism. The reason why a person gets endometriosis is mainly because there is a problem with the endometrium itself. Abnormalities in the endometrium will affect the implantation of the fertilized egg. ??? All of the above-mentioned links may affect pregnancy. Therefore, one of the clinical manifestations of endometriosis is infertility. 2. Why can pregnancy treat endometriosis? Why is pregnancy the best treatment? Experts agree that endometriosis is a hormone-dependent disease and an organ-dependent disease. What hormones do you rely on? ——Estrogen. What organ does it depend on?——The ovaries. This is why this disease rarely occurs after menopause and before puberty; and why radical surgery must remove both ovaries. Because this disease is more common in women of childbearing age, these women have a strong desire to retain their reproductive function and ovarian endocrine function, so not everyone can undergo radical surgery. Then our doctors have to find some conservative treatment options. Conservative treatment plans, no matter which drug it is: progesterone, danazol, mifepristone, prestrione, diphenylephrine, Norad, enantone, etc., their purpose is only one - to suppress the ovaries so that they do not secrete estrogen and ovulate. There is another way to prevent the ovaries from secreting estrogen and ovulating: getting pregnant. During pregnancy, a woman's ovaries are in a resting state, and a large amount of progesterone in the body comes from the corpus luteum and placenta. During lactation, the ovaries are also in a resting state. Any medicine has side effects, but pregnancy is a physiological process, so it can be said to be the best way to treat endometriosis. After performing surgery on young patients with chocolate cysts, we doctors often tell them not to use contraception and to get pregnant as soon as possible after returning home. Patients with more serious conditions are also given short-term drug treatment and are encouraged to consider fertility as soon as possible. Why is promoting pregnancy the best treatment? Patients with endometriosis are often infertile. Although pregnancy can cure her disease, prevent and delay recurrence. But what if he can’t get pregnant? She still cannot get pregnant after our surgery and drug treatment. At this time, we should actively promote pregnancy, such as artificial insemination and in vitro fertilization. These methods not only solve the problem of the family wanting a baby, but also treat the female's endometriosis. At this point, you may understand why it is ridiculous for the patient mentioned above to say that he wants to have an abortion to treat endometriosis. Pregnancy can treat endometriosis because pregnancy lasts long enough to suppress the ovaries. Early pregnancy followed by an abortion will not suppress the ovaries. Instead, it may aggravate or induce endometriosis due to surgical procedures such as abortion and curettage. Moreover, if a patient is infertile, does she still need to undergo artificial insemination or in vitro fertilization to get pregnant? That would be too costly. 4. Are there any side effects of using pregnancy to treat endometriosis? Although surgery and medication have risks and side effects, they have no side effects. And this method is to give birth to a newborn. Therefore, you must first have the purpose and requirements of having children and comply with the country's family planning policy. We cannot get pregnant to treat a disease. Another patient of mine, who is nearly 40 years old and has given birth, is suffering from the pain of endometriosis. After introducing what to do when you get pregnant with endometriosis, I believe that many women with endometriosis will not be so anxious after they become pregnant. In fact, if you get pregnant under this circumstance, you must go to the hospital in time for a prenatal check-up. If any abnormalities are found, you must communicate with the doctor in time to welcome a healthy baby into the world. |
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