Understanding Endometriosis and Its Impact on Fertility

This week on Let's all Talk Fertility, we spoke to Vidya Seshadri from CRGH about endometriosis. Endometriosis, or ”endo” as it’s also known as, is a fairly common condition that affects nearly 10% of women globally - that's an estimated 119 million women worldwide. Endometriosis is when tissue, similar to the lining of the uterus, grows outside of the uterus and onto other organs in your body. The symptoms can vary; some people may be completely asymptomatic whilst others can experience severe pain in the pelvis and find it harder to get pregnant.

Diagnosing endometriosis can be a challenge, as it requires more than just a simple scan. A laparoscopy (a minimally invasive, key hole surgical procedure) is often necessary to confirm the diagnosis. However, there are ongoing research efforts to develop non-invasive diagnostic tests, such as a saliva test, that can detect the presence of endometriosis-related markers.

Endometriosis can impact fertility in several ways. The chronic inflammation associated with the condition can cause adhesions or scar tissue, which can affect the anatomy of the reproductive organs. It can also lead to tubal blockages, endometriomas (collections of endometriosis on the ovaries) and altered immune responses - all of which can contribute to sub-fertility or infertility. However, it's important to note that not all people with endometriosis will experience difficulties conceiving.

Managing endometriosis and its impact on fertility requires a personalised approach. Treatment options may include pain relief medications, hormonal therapies, or surgical interventions to remove the endometriotic lesions. In some cases, fertility preservation techniques like egg freezing may be recommended, especially for individuals with severe endometriosis or low ovarian reserve.

One thing is for sure, as with any health condition, it always helps to seek out community. People diagnosed with endometriosis are advised to seek support and not feel isolated. Connecting with organisations such as the Fertility Show can help you come to terms with the condition, whilst also helping you gain advice on best next steps. The Fertility Show enables you to chat to healthcare professionals who specialise in the condition, who can provide valuable information and resources.  We can also link you with The Endometriosis Foundation team - a not-for-profit organisation dedicated to raising awareness, providing trusted and transparent information, education, and support.

While there is ongoing research to better understand endometriosis and improve diagnostic methods, there is still much to learn about the condition. It's important to stay informed and advocate for better awareness, research, and support for individuals with endometriosis.

Endometriosis is a complex condition to both diagnose and deal with, and it can also impact fertility, however it’s also important to remember that it does not necessarily mean you are infertile. An early diagnosis, some personalised treatment plans, support from your healthcare professional and a trip to The Fertility Show can help individuals manage the condition and make informed decisions about their reproductive choices.

By Sophie Sulehria