Pregnancy with endometriosis: Current. Bearing, risks, treatment.
Content
- Endometriosis in pregnant women: symptoms
- Endometriosis during pregnancy in the early stages
- The effect of uterine endometriosis, cervix, ovarian on pregnancy, bearing, fetus: pain, discharge, daub, termination of pregnancy
- Can endometriosis be the cause of a frozen pregnancy?
- Signs of pregnancy with endometriosis, pregnancy test
- Is it possible to cure endometriosis with pregnancy?
- Endometriosis and pregnancy after 40 years
- Is it possible to confuse endometriosis with pregnancy?
- How to preserve pregnancy with endometriosis?
- Medication of pregnancy with endometriosis
- Pregnancy after laparoscopy of endometriosis: bearing
- The course of pregnancy after Byzanne and Jeanin
- Endometriosis and pregnancy: reviews
- Video: Preparing for pregnancy: endometriosis
Women's health is very valuable and fragile. You should follow him and, in the case of any unpleasant symptoms, contact the doctor. In this article, we will talk with you about such an unpleasant disease as endometriosis, which is even dangerous during pregnancy.
Endometriosis in pregnant women: symptoms
Endometriosis took its name from the word endometrium - the inner shell of the uterus, which is always released during menstruation. In the absence of the disease, the shell is only inside the uterus. But when the ailment appears, the shell begins to be located behind the uterine cavity and forms the foci of endometriosis.
When, during menstruation, blood is released from the foci of the disease, which can be located not only in the uterus, but also the ovaries, the abdominal cavity and the appearance of adhesions occurs. It happens that the disease proceeds asymptomatic and it can only be detected by gynecological examination.
Endometriosis is a disease that is found in women at 25-40 years old. Such a disease can be found in women during menopause, but in this case all symptoms most often occur without a trace.
Endometriosis can be:
- Genital
- Extragenital
The genital, in turn, can be external and internal:
- In the first case, the hearth is manifested outside the uterus
- In the second - in the walls of the uterus
In general, the focus of endometriosis, which is outside the uterus, is benign. But recently, cases of the detection of endometriosis in conjunction with cancer female diseases have become more frequent, which is the cause of hormonal disorders.
About 40% of women who cannot become pregnant after examination is found endometriosis. It is he who often becomes the cause of infertility.
But if a woman still became pregnant, then the pain and bleeding, which were in critical days, no longer torment the future mother. But still, a pleasant period in the life of a woman, with diagnosis of endometriosis, has complications:
- The probability of premature birth or miscarriage
- Weak tribal activity
- Bleeding in the last trimester
- Uterine rupture during childbirth
- The formation and rupture of the ovarian cyst
Therefore, if a woman became pregnant with endometriosis, during this period she needs more thorough observation and immediate hospitalization in a complication of the disease or symptoms that threaten a pregnant and baby.
Endometriosis during pregnancy in the early stages
As you understand, it is quite difficult to get pregnant with endometriosis, so it is better to cure the symptoms of the disease before planning pregnancy. In addition, pregnancy in the presence of endometriosis is extremely dangerous, because there may be miscarriages, ruptures of the cervix.
Early pregnancy is especially dangerous, when the risk of miscarriage is especially large. Therefore, it is necessary that the doctor carefully controls the course of pregnancy.
During pregnancy, they often resort to the use of hormones to stop the germination of the endometrium. In this position, this is the safest method.
Also, in the early stages, constant monitoring of the thickness of the endometrium is required. Doctors regularly check the thickness of the shell up to mm.
It should not be very thin, but it is also necessary to prevent its growth. In any case, the deviations are corrected by hormonal therapy.
The effect of uterine endometriosis, cervix, ovarian on pregnancy, bearing, fetus: pain, discharge, daub, termination of pregnancy
You can hear the statement that endometriosis can be cured by pregnancy. This is partly so, because pregnancy often eliminates the discharge and pain that have been during critical days with endometriosis.
Also, during pregnancy, hormones are ceased to be produced, which lead to the growth of the mucosa. Therefore, the occurrence of foci of endometriosis is practically excluded.
But still this is a temporary phenomenon and the foci can appear again after the first ovulation. Therefore, it is better to undergo a course of treatment, and only then plan a pregnancy.
In addition, often this ailment can cause a miscarriage, especially in the early stages. Breeding pregnancy is a huge emotional, mental and physical stress for a woman.
Therefore, either try to get rid of the disease, and only after think about conception. If such a situation has occurred, then follow your health and condition and follow all the doctor’s instructions.
Can endometriosis be the cause of a frozen pregnancy?
During a frozen pregnancy, a woman ceases to be pregnant outside her own desire. Another variety of such a situation is a miscarriage.
The main sign of frozen pregnancy is the absence of a heartbeat during ultrasound and examination by a doctor. Endometriosis can cause a frozen pregnancy, but often this happens not only in the presence of foci of the disease, but also with other related deviations, including:
- Genetic and chromosomal pathologies are the first and main reason. In 80% of women in the early stages, a frozen pregnancy is found in the presence of this reason.
- Infectious diseases, among which there may be rubella, toxoplasmosis, herpes, influenza, acute respiratory viral infections. Venus diseases are also dangerous.
- Autoimmune diseases
- The conflict between the mother and the father, namely Rhesus is incompatibility or incompatibility in blood groups.
- Problems of mother with liver and kidneys, as well as diabetes.
- Taking certain drugs even before pregnancy planning. This must be discussed with a doctor during pregnancy planning.
- Negative factors of the environment that surrounds the mother - it can be emotional stress and noise with the dusty places where the mother is often located.
The totality or several of these reasons leads to the fact that a woman’s pregnancy proceeds with complications. In the worst case, a miscarriage or fading of pregnancy occurs.
Signs of pregnancy with endometriosis, pregnancy test
If you saw 2 strips on the test, but you know that you have endometriosis, you must urgently consult a doctor. The gynecologist will give you a referral for an ultrasound.
This is extremely necessary, because you must first find out that pregnancy is uterine. In the presence of foci, cases of ectopic pregnancy are not uncommon, which can also affect the test with two stripes.
If the pregnancy is ectopic, then it is necessary to carry out an urgent operation and remove the fetal egg from the pipes. By the way, spikes are being excised during the operation, this helps to increase the chances of a woman to get pregnant.
But, if you were told joyful news and uterine pregnancy, then at the beginning the treatment is not prescribed. And only regular and thorough observation is carried out. Starting from the second trimester, when progesterone is suppressed by estrogens, drugs with progesterone are prescribed, which reduce the muscle activity of the uterus.
Most often, with endometriosis in the last weeks, a woman is determined for preservation. In order to conduct a cesarean if necessary.
Is it possible to cure endometriosis with pregnancy?
When a woman is in a great position, this contributes to a change in her hormonal background. In turn, such a situation is not in favor of arising centers of the disease.
After all, the production of estrogens is reduced, but the progesterone, on the contrary, becomes more. This amount of hormones does not contribute to the occurrence of foci of the disease.
In addition, if breastfeeding occurs in normal mode, then a favorable condition for curing the disease will last. But if the foci were found on the ovaries, then, unfortunately, it will not be possible to get rid of them.
Endometriosis and pregnancy after 40 years
As we have already found out, endometriosis most often overcome women under 40 years old. But, what is the situation of the female representatives who crossed this barrier.
Even if a woman does not have an anamnesis of endometriosis, then there are still other risks of late pregnancy:
- The high probability of miscarriage - a third of women after 40 years have such a sad experience. At this age, not only the body, but also the egg ages ages, therefore, genetic disorders are more often found.
- Chronic diseases are aggravated. At this age, women already have constant diseases. You should especially carefully monitor health and undergo a medical examination for problems with kidneys and heart.
- Diabetes of pregnant women are three times more often than women after 40.
- A multiple pregnancy is very frequent, but also during childbirth in this case, the generic activity is weak, there are severe bleeding and gaps.
- Almost half of the future mothers after 40 are allowed by cesarean.
If the expectant mother is found endometriosis, then the gynecologist very often advises to go to conservation and is under daily supervision of medical personnel. There are times that women with late births are in the hospital for the entire period of pregnancy.
Do not neglect such advice of doctors, since not only endometriosis can bring a future mother’s danger, but a child for life. Many concomitant problems also require careful observation.
But do not despair, because medicine is not in place, and perinatal diagnosis is even more so. Modern studies are already in the early stages to identify deviations in the development of the fetus and take the necessary measures.
In addition, the Mother, to whom God gave a late child more reverently, gently and consciously belong to their role. And their children are born in love, and most importantly - very desired.
Is it possible to confuse endometriosis with pregnancy?
On the Internet, you can find quite a lot of information that young girls on an ultrasound or examination with a doctor were made an incorrect diagnosis. Frequent cases that endometriosis was confused with pregnancy.
That is, the girl comes to an examination of the doctor with complaints of pain in the lower abdomen and blood discharge. And after the examination, she is diagnosed with endometriosis, prescribing hormonal treatment.
But when after some time the blood discharge did not stop, the girl came to an examination to another doctor, where it turned out that she had an early period of pregnancy, and there were serious problems with the fetus.
Recall that gynecologists do not advise planning pregnancy until you cure endometriosis. But if this nevertheless happened, then it is necessary to carefully examine and identify whether the foci of the disease interfere with the normal course of pregnancy.
How to preserve pregnancy with endometriosis?
Despite the fact that with this disease it is quite difficult to get pregnant, there are still such cases. This situation occurs when a woman does not know about her disease or a gynecological examination has not undergone for a long time.
The future mother should remember that in the early stages of pregnancy, the presence of this ailment has a huge risk of losing a child. There may be either a miscarriage and a frozen pregnancy.
Therefore, to maintain the health of mom and the life of the baby are required by special hormones. After the formation of the placenta, the risk of child loss is reduced. But despite this, the pregnant woman must follow all the instructions and advice of the gynecologist.
Fortunately, endometriosis does not affect the development of the baby. Therefore, if you protect yourself, you can give birth to a wonderful healthy baby. After childbirth, be sure to decide on the treatment of the disease, since getting rid of him is simply necessary.
Medication of pregnancy with endometriosis
This type of abortion is carried out by drugs that provoke a miscarriage. The period in which it is permissible to carry out abortion - up to 7 weeks.
There are many aggravating consequences that are manifested in a woman after a drug abortion in a particular period of life. But if a woman has endometriosis and pregnancy in the early stages, then gynecologists most often insist on preserving pregnancy.
Since abortion under such conditions only exacerbates the situation. In addition, there are frequent cases that after a certain time a woman may have benign or even malignant formations.
In addition, pregnancy and childbirth can facilitate and even exclude the course of endometriosis. Therefore, consult your doctor before taking such an important decision as abortion for endometriosis. Take care of your health and life of the future baby.
Pregnancy after laparoscopy of endometriosis: bearing
Laparoscopy is a surgical intervention in order to treat gynecological diseases. Endometriosis can also be one of the indications for the use of this intervention.
The question of pregnancy after this operation has several answers, as it depends on the specifics of the disease:
- If there was internal endometriosis, then you need to try to get pregnant in the next cycle, the optimal period is 3 months after the operation.
- After the operation to remove external endometriosis and despite the fact that the ovary is restored after several days, it is better to talk about the terms of conception with a gynecologist. Since a pregnancy that occurred within 3 months after surgery often has to be maintained by hormonal drugs.
- The terms of pregnancy after laparoscopy can also be divided into several categories:
- 20% of the fair sex will become pregnant in the next cycle.
- The same number of girls learn joy in the period of 3-5 months after surgery.
- A little more - 30% of women get pregnant from six months to 8 months.
- 15% of women learn that they are pregnant about a year after surgery.
- and the remaining 15% cannot get pregnant even in a year. In this case, consulting a gynecologist and determining further actions to obtain the desired result is necessary.
- In 30%, attempts take about 6-8 months. Another 15% begin to prepare for motherhood during the year.
If the pregnancy occurred in the first months after the operation, then the normal course and hormonal background should be maintained using certain drugs. In other cases, pregnancy proceeds without complications.
The course of pregnancy after Byzanne and Jeanin
OK Byzanne and Janin are used as hormonal therapy in the treatment of endometriosis. Also, these drugs are naturally an obstacle to pregnancy. To use such drugs, you should definitely consult a doctor about the dosage.
But many women are interested in the question of how quickly you can get pregnant after canceling the use of these drugs. There is no exact answer to this question, since it is deeply individual.
But, if you read the forums on the Internet, where women share experience on this topic, you can find information that in 80% of women pregnancy occurs after 1-2 cycles.
But still it is worth noting that if you took drugs not only from unwanted pregnancy, but also for the treatment of endometriosis, then before planning pregnancy, take an examination by a gynecologist.
Remember that pregnancy with endometriosis can have negative consequences, especially in the early stages. The course of pregnancy after taking the Byzanna and Zhanin is not due to complications.
Endometriosis and pregnancy: reviews
Anna, 32 years old:
“I can’t get pregnant, since during the examination endometriosis was revealed in the uterus. Already nausea from these tablets, but there is still no result. In addition, constant smearing secretions of brown color 10 days after the end of menstruation. Just horror, I don't know what to do. I think about the operation, but scary. ”
Valeria, 28 years old:
“Endometriosis was also revealed. And for six months I could not get pregnant. Since one child is already there, I decided that they have not yet been very sad. She took up herself, handed over to the rights. And then she noticed nausea in the morning. At first I decided that I was nervous before the driving exam. But still I decided to buy a test. And, Oh miracle, 2 strips. Now I’ll take care of health and beware. ”
Inna, 25 years:
“For 4 years, she tried to get pregnant, drank the strongest hormones. And the miracle happened. In addition, after childbirth and GV, this ugly endometriosis evaporated. So now I have two joys - my daughter and getting rid of this ailment. ”
Victoria. 27 years:
“For 6 years, we are trying to get pregnant with my husband. All this endometriosis did not let me see the happy 2 strips. Doctors said that they could not have surgery that did not give birth. But there was no more strength, and these hormones were already tired of these hormones. I decided. The result - after 2 months, my happiness knew no bounds. And now I'm already in the sixth month. "
Yes, medicine in this sense has achieved a lot. And our experts are now working at the level of foreign doctors. And this is very pleasing.
To get rid of endometriosis, the doctor recommended that Indol take the forte (there is a substance that has antitumor properties, possesses just what is needed in this case) +I still passed hormone therapy. I think it was the integrated approach that helped get rid of this misfortune ..).
We did not succeed for four years due to endometriosis. Neither NIECO did not give long -awaited successes. The change of clinic and the doctor helped. A friend strongly recommended that I.Yu. Fasel as a reproductologist who specializes in the treatment of endometriosis. After the treatment she had prescribed, she joined the protocol and became pregnant in the cryo. Sinulka was already 9 months old.
Behind six years of infertility due to the diagnosis of endometriosis. Transferred laparoscopy, and as a result, reduced below 1 reserve of Imters. I was already in despair, I thought that it was a sentence, but lucky. I got to good specialists. All examinations of analyzes and the collection of an anamnesis were led by E.A., an experienced and competent reproductologist. She directed me first for treatment with the endocrinologist of the clinic. For two months I took place androgen priming. The treatment gave good results, AMG rose to 1.2, and I was taken to the protocol. Vitokol led Sukhacheva T.S. The stimulation went well, 4 antral yak managed to punctize, from which embryologists were able to grow 2 good blastocysts. There were no excellent students, both fifth days were of good quality. The fresh protocol was not lucky, and in Cryo we finally waited for two stripes.