Some female friends who have been trying to conceive for a long time without success, or who are prone to miscarriages after getting pregnant, may find that it is the “endometriosis” causing trouble when they go to the hospital for a check-up.
So what should sisters with endometriosis do if they want to conceive and prevent miscarriage?
1. Natural conception
1. For those with mild symptoms, expectant therapy is used, mostly symptomatic treatment, alleviating pain and actively trying to conceive as soon as possible;
2. Patients with difficulty conceiving can try using pregnancy hormones after ovulation, which can improve endometrial receptivity and enhance corpus luteum function;
3. For patients with abnormal ovulation or prolonged menstrual periods, short-acting oral contraceptives can be considered. After taking the medication for 2-3 menstrual cycles, they can stop and try to conceive as soon as possible, with the option of ovulation induction if necessary;
4. Patients with severe dysmenorrhea who do not meet the surgical indications but still want to conceive can undergo short-term pseudo-menopausal therapy for 2-3 cycles, then stop medication and start preparing for conception promptly;
5. Patients who are more prone to luteinized unruptured follicles (LUFS) can consider inducing ovulation and providing luteal support after ovulation.
2. Assisted reproductive technology for conception
1. Artificial insemination;
2. In vitro fertilization: For patients over 35 years old or with low ovarian reserve, in vitro fertilization is mostly the preferred first-generation technique.
3. Surgical treatment
Young patients with endometriosis, ovarian cysts, and relatively large cysts but still workable ovaries can consider laparoscopic surgery to remove ovarian cysts when necessary, to prevent cyst rupture or impact on ovulation.
For patients over 35 years old or with low ovarian reserve, surgery is not recommended to avoid further damage to ovarian function. It is advisable to consider in vitro fertilization as soon as possible.
Special note: For all endometriosis patients with a history of miscarriage and infertility, it is recommended to provide appropriate luteal support after getting pregnant to improve corpus luteum function and reduce the risk of miscarriage.
