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Endometriosis in pregnancy: symptoms and risks

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Generally, endometriosis in the last months of pregnancy and during breastfeeding tends to regress, alleviating abdominal pain.

However, endometriosis may return after delivery and some women may even experience worsening symptoms, especially during the first three months of pregnancy.

Pregnancy cure endometriosis?

Pregnancy usually improves the symptoms of endometriosis during the last months of pregnancy. However, some women may experience worsening of symptoms particularly during the first few months.

It is unclear what causes this improvement, but it is believed that the beneficial effects are due to the high levels of progesterone that are produced during pregnancy, which may suppress the growth and development of endometriosis lesions, making them less active.. The beneficial effects may also be due to the absence of menstruation during the gestation period.

The worsening of symptoms in the first few months may be due to the rapid growth of the uterus which can cause the tissue lesions to tighten, as well as high levels of estrogen, which can also worsen the symptoms.

For women who experience improvements in endometriosis during pregnancy, it is good to know that these beneficial effects are only temporary, and that the symptoms of endometriosis may return after pregnancy. However, during breastfeeding, symptoms may also decrease, as it inhibits the release of estrogen by the ovaries, thus suppressing ovulation and the growth and development of endometriosis.

Does endometriosis make pregnancy difficult?

In some cases, endometriosis can make pregnancy difficult, especially when the endometrial tissue binds to the tubes and prevents the passage of the mature egg to the uterus, preventing conception. However, there are reports of several women who managed to conceive naturally even though they had endometriosis, as their ovaries and tubes were not affected by the disease and their fertility was preserved.

However, some women need to stimulate ovulation naturally or with the use of medications to be able to get pregnant in endometriosis.

Treatment for endometriosis in pregnancy

Treatment for endometriosis in pregnancy is unnecessary and surgery is only indicated if there is a risk of death for the mother or baby. For many doctors, any other situation must wait until the baby is born to be treated.

Does endometriosis cause risky pregnancy?

Endometriosis can cause a risky pregnancy if it is deep or severe. In this case, the woman may run the risk of:

  • Having an ectopic pregnancy; Having an abortion; Having a premature birth; Having rupture of the veins that irrigate the uterus; Having complications related to the placenta; Suffering with eclampsia; Needing a cesarean section.

Due to the serious and unexpected complications of the disease, it is recommended that deep, moderate or severe endometriosis be eliminated completely before attempting to conceive.

If the woman is diagnosed with endometriosis during pregnancy, it is recommended that the obstetrician pay special attention and perform specific gynecological exams in order to prevent complications. See which tests are used in cases of endometriosis.

Endometriosis in pregnancy: symptoms and risks