Endometriosis and pain during pregnancy

Endometriosis During Pregnancy

What is endometriosis during pregnancy?

Endometriosis is when the tissue that usually lines the uterus grows outside of it, and on and around the pelvic and abdominal organs. If you have endometriosis, you’re probably wondering how it will affect your pregnancy.

What are the signs of endometriosis?

The most common symptoms of endometriosis are abdominal pain, heavy periods, painful intercourse and severe menstrual cramps. You might also experience fatigue.

The good news is: While you’re pregnant, you might actually get some relief from your endometriosis symptoms. “The high levels of progesterone during pregnancy often induce a bit of remission,” says Sharon Phelan, MD, a professor of obstetrics and gynecology at the University of New Mexico.

Are there any tests for endometriosis?

Yes and no. Ultrasounds, CT scans and MRIs may be used to rule out other conditions. But endometriosis can only be definitively diagnosed with surgery, since a doc actually needs to look around in there to confirm you have it.

How common is endometriosis?

About 7 million women in the US have endometriosis.

How did I get endometriosis?

No one knows for sure. One theory is that certain women are genetically predisposed toward endometriosis. Another is that it’s caused, at least in part, by “backward” flow of menstrual fluid, which can cause normal menstrual fluid to leak into the abdomen. A third theory is that the disorder might be caused by a problem with the immune system.

How will my endometriosis affect my baby?

It shouldn’t. At least one research study suggests that endometriosis increases the risk of preterm birth, but most women with endometriosis have healthy pregnancies and healthy babies.

What’s the best way to treat endometriosis during pregnancy?

You probably won’t be able to treat it during pregnancy. Outside of pregnancy, it’s often treated with hormones or surgery.

What can I do to prevent endometriosis?

There’s really no way to prevent endometriosis.

What do other pregnant moms do when they have endometriosis?

“I have stage IV endo, but my pain has always been only during cycles, other than some digestive discomfort due to adhesions (and this was a larger issue at the end of my pregnancy). My surgery didn't help me pain-wise.”

“When I got pregnant, it took about three months, but all the pain did subside. Breastfeeding helped, but my menstrual cycle started up six weeks after giving birth (I owe that to being put on birth control pills). I would recommend breastfeeding exclusively after birth because it did really help.”

Are there any other resources for endometriosis?

Endometriosis and pregnancy

Learn about endometriosis and pregnancy including information on getting pregnant when you have the condition.

Endometriosis is a long-term condition affecting women of childbearing age. Endometriosis can affect fertility but the majority of women with the condition are still able to get pregnant.

What is endometriosis?

In endometriosis, small pieces of the inner lining of the uterus (womb) are found elsewhere in the body. This lining is called the endometrium. The pieces of tissue may become attached to other organs, such as the bladder, bowel or ovaries.

Endometriosis affects around two million women in the UK. Most of them are diagnosed between the ages of 25 and 40. It is likely, though it has not been proved, that endometriosis is caused by a combination of genetic, immune system and hormonal factors. The condition is long-term and has no cure. However, symptoms can be managed and fertility improved with pain medication, hormone treatment or surgery.

Symptoms of endometriosis

Endometriosis commonly causes pain in the lower abdomen (tummy), pelvis or lower back. Pelvic pain often, but not always, coincides with the menstrual cycle, so you may have worse pain during your period.

Some women have few, or no, symptoms, but others experience severe pain that disrupts their lives.

Treatment of endometriosis

Unfortunately, there is no known cure for endometriosis. However, the symptoms can often be managed with painkillers or hormone treatment, which help prevent the condition from interfering with your daily life.

Surgery to remove patches of endometriosis tissue can sometimes be used to improve symptoms and fertility too. Treatment may not be necessary if symptoms are mild.

Endometriosis, fertility and getting pregnant

One of the main complications of endometriosis is difficulty getting pregnant (this may affect may affect about 30- 40% of the women who have endometriosis) or not being able to get pregnant (infertility). Fertility problems occur because the tissue from the endometrium may be found in the ovaries or fallopian tube and stops these organs working properly.

Although surgery cannot guarantee that you will be able to get pregnant, there is good evidence that removing visible areas of endometriosis with a laser or an electric current during keyhole (laparoscopic) surgery can improve your chances of having a successful pregnancy.

Endometriosis and relief from symptoms during pregnancy

The majority of women with endometriosis who wish to get pregnant are able to do so, either with or without some medical treatment for the endometriosis. When you are pregnant, the painful symptoms of endometriosis may reduce or disappear. However this effect is not likely to last after pregnancy and breastfeeding have finished.

Further information

NCT’s helpline offers practical and emotional support in all aspects of being pregnant, birth and early parenthood: 0300 330 0700. We also offer antenatal courses which are a great way to find out more about birth, labour and life with a new baby.

NHS choices provides information on the diagnosis and treatment of the condition and its effect on fertility.

Endometriosis UK aims to improve the lives of people affected by endometriosis and work towards a future where it has the least possible impact on those living with endometriosis.

Endometriosis During Pregnancy

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While endometriosis is prevalent among women in their reproductive years, its effects on pregnancy have not been well studied. Some women with endometriosis find that their symptoms subside during pregnancy, but others notice no difference. The risk of certain pregnancy-related complications may be higher for women who have endometriosis, and especially for those who have been treated for infertility. Because pregnant women who have endometriosis are considered to be high risk, their healthcare providers should closely follow the progress of their pregnancies.

What Is Endometriosis?

Endometriosis is a common condition that affects about 15 percent of women during their childbearing years. During a woman’s monthly menstrual cycle, endometrial tissue builds up inside the uterus. If a pregnancy does not occur, this tissue breaks down and is expelled from the body during menstruation. In women who have endometriosis, endometrial tissue begins to grow outside the uterus. Often the endometrial tissue is in the abdominal area, but it can also appear in other areas of the body, though this is not common. This tissue cannot break down and exit the body through the vagina, as it does when it is located in the uterus. The growing tissue may not cause any symptoms, but in some cases it can cause:

  • Heavy, painful periods
  • Painful intercourse
  • Urinary or digestive problems

Endometriosis is also commonly associated with infertility, and approximately 50 percent of women with endometriosis experience this complication. Women with infertility due to endometriosis may seek fertility treatments in order to get pregnant. Fertility treatments, especially in-vitro fertilization, are associated with a low risk of certain complications for the mother and the fetus, such as birth defects or preterm labor. Endometriosis also carries risks for the mother and the baby during pregnancy.

Is Pregnancy A Treatment For Endometriosis?

Pregnancy is an important life choice that deserves careful consideration before it is undertaken. It is thought that the hormones produced during pregnancy may have a positive effect on the symptoms of endometriosis. This effect may continue after delivery and while breastfeeding. This is not because the endometriosis has been cured, however; the symptoms have merely subsided.

Some women may also find that the symptoms of endometriosis actually recur during a pregnancy. In many cases, regardless of whether the symptoms have subsided during pregnancy, they will return at some point after the baby is delivered.

How Does Pregnancy Affect Endometriosis?

It’s important to remember that pregnancy will not cure endometriosis. It was once thought that pregnancy was an effective treatment because symptoms subsided while pregnant and for some time after delivery. It’s now known that while symptoms may abate during this time, pregnancy is not truly a long-term treatment for endometriosis.

Endometriosis And Infertility

The effect of endometriosis on a woman’s fertility is well documented. Many women with endometriosis experience infertility, and many decide to undergo assisted reproduction procedures, including intrauterine insemination and in-vitro fertilization. These procedures can result in a healthy pregnancy and baby, but in some cases they carry a risk to the mother and the fetus.

What Are The Potential Complications?

There has not been much study of the complications that may occur in pregnant women with endometriosis. There have been some preliminary studies, however, showing that endometriosis can predispose some pregnant women and their babies to certain poor pregnancy outcomes. Pregnant women who have endometriosis are often considered to be high-risk. The potential complications for women with endometriosis can include:

Preterm birth: One study showed that women with endometriosis are at greater risk of delivering their babies early, compared with women who did not have endometriosis.

Caesarean delivery: Women with endometriosis may be more likely to require delivery by Caesarean section.

Pre-eclampsia: This condition is characterized by high blood pressure and affects pregnant women in their second and third trimesters.

Antepartum hemorrhage: Antepartum hemorrhage is bleeding during the second half of pregnancy. This potential complication of pregnancy could be caused by placental abruption or placenta previa, but in many cases, the cause of bleeding is unknown. Placental abruption is when the placenta separates from the uterus, and is a major cause of pregnancy loss. In placenta previa, the placenta is actually blocking the cervix, which could lead to significant bleeding.

Miscarriage: Some studies have shown that endometriosis is associated with spontaneous abortion, but others have found no association. A miscarriage is defined as the loss of a pregnancy before 20 weeks.

Stillbirth: Stillbirth is the loss of a pregnancy after 20 weeks. It is not known conclusively whether stillbirth is associated with endometriosis, but some studies have shown a connection. In many cases, the cause of stillbirth is not known.

The Prognosis For Pregnancy And Endometriosis

While endometriosis seems to be associated with complications during pregnancy, these effects have not been well studied. While the symptoms of endometriosis may be lessened or nonexistent during pregnancy and thereafter, pregnancy does not treat the underlying problem. Pregnant women who have endometriosis are considered to be high risk, and should be monitored closely by their physicians.

Symptoms of Endometriosis During Pregnancy

Endometriosis is a medical condition or a gynaecological disorder which is seen in women. The condition refers to a situation where the cells from the lining of the uterus appear and flourish outside the uterine cavity. The endometrial cells in the lining of the uterus as well as those outside the cavity are all influenced by the female hormones and hormonal changes. The causes of this disorder are thus hormonal in nature.

The endometriosis disorder is usually seen in women in their reproductive years and it is more critical when a pregnant woman experiences it. There are various symptoms of endometriosis in women which vary depending upon the site of the active endometriosis. There are a few endometriosis during pregnancy symptoms which an individual should watch for.

Some of these symptoms are as follows:

  • The most common symptom of endometriosis during pregnancy is pelvic pain. This is also one of the most common symptoms that are experienced by all the patients of endometriosis whether they are pregnant or not.
  • Another symptom of endometriosis during pregnancy is having pain while urinating. There may also be some burning sensation in addition to the pain.
  • It has been found that a pregnant woman who suffers from endometriosis may also experience nausea or even diarrhea. Some women may experience these, just as a side effect to pregnancy.
  • It has also been seen that many women experience pain even when having bowel movements. This happens because they are suffering from endometriosis while they are pregnant.
  • Another symptom of endometriosis during pregnancy is experiencing bloating or fatigue. The degree of their severity might vary from woman to woman and the stage of pregnancy.
  • Endometriosis in pregnant women has also found to be accompanied by signs of constipation.
  • Endometriosis also causes the women to experience pain during intercourse. This may be exaggerated during pregnancy.
  • There are some women who have an extreme case of endometriosis. These women experience more intense pain as compared to others. This is because of the fact that the scars are stretched which results in added discomfort.

It has been found that a woman may have difficulty conceiving if she has endometriosis. This disease also induces a very high risk of miscarriage in pregnant women, or may lead to pre-term birth. Thus the women who are pregnant and also suffering from endometriosis must seek immediate medical consultation.

По материалам:

Http://www. thebump. com/a/endometriosis-during-pregnancy

Http://www. nct. org. uk/pregnancy/endometriosis-and-pregnancy

Http://www. pregnancycorner. com/being-pregnant/complications/endometriosis-during-pregnancy. html

Http://www. thepregnancyzone. com/pregnancy-issues/symptoms-of-endometriosis-during-pregnancy/

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