Is An Ovarian Endometrioma To Women A Treatable Condition
Have you been diagnosed with endometriosis? Do you wonder if it affects the ability to get pregnant? Endometriosis doesn’t necessarily cause infertility. Even with serious endometriosis, natural conception is still possible. But, the natural source is not yet fully established.
60-70% of people diagnosed with it can become pregnant spontaneously. The primary factor that affects the fertility of a woman is their age. A woman is born with a lifetime supply of eggs, which undergo maturation monthly after puberty is reached. The hong kong endometrioma surgery offers lasting relief and an effective fertility-enhancing surgery for infertility.
Fertility quickly declines after 38 years old, in which the egg sacs also disappear from the ovaries. The condition is due to increased rates of chromosomal abnormalities and miscarriage. People with endometriosis who experienced fertility issues can’t have the chance to get pregnant after medication.
Does endometriosis cause issues in pregnancy?
Currently, there are no claims of associated health problems with endometriosis at later pregnancy.
Endometrioma surgery
Endometrioma surgery can be performed in several principles:
- Cystectomy. The surgery involves the removal of the cyst wall, which involves the removal of part of the underlying ovarian tissue. It results in a changeable reduction in the follicle reserve of an operated ovary.
- Vaporization or ablation. It involves situ destruction of the endometrial tissue layer without detaching the fibrous tissue layer. Using a laser or plasma, ablation is performed without diffusing heat deep down.
- Alcoholization or sclerotherapy. This is another ablation technique for endometrioma. Alcohol is instilled inside the cyst to destroy the inner endometrial layer without affecting the ovarian tissue.
Puncture aspiration is performed on women with impaired ovarian reserve. The technique is performed before post-operative IVF to facilitate oocyte puncture.
Is endometrioma surgery necessary?
Endometriosis is present in classic implants located on the surface of one or both ovaries but can be found deep in them. Deep ovarian endometriosis forms dark fluid-filled cavities, which vary in size known as chocolate cysts or endometriosis. The diagnosis of endometriosis is suspected based on the pelvis’s ultrasound imaging. The final diagnosis is based on a microscopic evaluation of the cyst.
Endometriomas are considered the most serious threat to the reproductive potential of a woman, except for the reproductive tract’s cancerous tumors. The lesions respond poorly to medical treatment with the potential to destroy all healthy ovarian tissue. It leads to early ovarian failure or premature, problems with decreased ovarian function or ovulation.
Endometriomas lead to destructive pelvic and invasive surgeries. It causes complete or partial premature loss of ovarian function. The cysts represent a medical dilemma, even while the woman receives fertility treatments, such as ART.
Treatment options for endometriosis
Not all healthcare providers would agree on a single treatment when managing the endometriomas. But, more experts believe that women of reproductive age must be treated by fertility specialists.
- Observation by ultrasound
- Observation of symptoms
- Medical treatment
- Surgical treatment
Endometriomas may have a higher risk for ovarian cancer, which causes pelvic pain and can also contribute to infertility. It can affect a woman’s fertility, which should be treated as early as possible.