Infertility and endometriosis
In terms of pregnancy, the Canadian ENDOCAN (Endometriosis-Canada) study reported a cumulative rate of 30.7% after nine months for less advanced stages. Pregnancy rates higher than 60% were found, even with severe endometriosis. Treatment is also effective in relieving painful symptoms. It has been said that symptoms improve in 90% of patients, but there is a 20% chance of recurrence in the two years following treatment.
Hormones present during pregnancy facilitate the resorption of endometriosis, but we cannot really talk about a cure. In many cases, the condition is in remission and symptoms will recur when menstruation begins again following childbirth.
Infertility-related problems are a source of stress and intense emotional reaction. Stress has not been identified as a cause of infertility when it does not interfere with ovulation. It is important for the couple not to feel guilty when people close to them quickly say, "The reason things aren't working out is because you're thinking about it too much!" An appointment with a clinical psychologist specialized in fertility matters can help couples manage the stress created by those around them or, alternatively, the tests required to solve this problem.
Some women become pregnant with no difficulty but have repeated miscarriages. After two or three miscarriages, an investigation will be suggested to find out whether there is some hormonal, immunological, genetic or anatomical cause (e.g., malformation of the uterus). In nearly 50% of cases, the problem(s) can be identified and treatment recommended.