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How the IVF Process Can Differ for Women With Endometriosis, by Joanie Cox-Henry (Endometriosis Foundation of America).
March is Endometriosis Awareness Month. PregnancyBeyond has teamed up with EndoFound to raise awareness of this disorder. Also, fertility health issue that affects millions of women worldwide.
This article discusses the impact of endometriosis on IVF outcomes.
As The Blossom recently reported, having endometriosis and conceiving the old-fashioned way, can have its difficulties, but with a little help from in vitro fertilization, experts say endo women can have a higher success rate with conception.
However, the IVF process can differ from endometriosis present. Because doctors interviewed by The Blossom say they take care to not worsen the condition. With the introduction of additional hormones in the body.
Dr. Mark Surrey, co-founder and medical director of the Southern California Reproductive Center. Who specializes in fertility and reproductive medicine. Says that prior to beginning ovarian stimulation, which is necessary for egg retrieval. He advises women with endometriosis to undergo laparoscopic excision surgery to excise endometriomas. Or endometriosis-filled cysts, “three to four centimeters or larger.”
To start the IVF process in a woman without endo, Surrey says he typically gives Lupron and progesterone-based oral contraceptives to begin the follicle stimulation process. But for women with endometriosis, he instead administers Ganirelix or Cetrotide, which prevents premature ovulation ahead of egg retrieval, because, he says, it doesn’t have a “flare phase,” or cause an endo flair-up, and promotes adequate follicular development.
Dr. Jessica Chan, a fertility specialist in Obstetrics at Cedars-Sinai in Los Angeles, says she, too, recommends a conservative laparoscopic excision surgery to remove endometriomas before beginning a cycle of IVF. If the cysts are under four centimeters, she says she typically leaves those alone and simply monitors them. “Egg quality and quantity decline with age,” Chan tells The Blossom. “Endometriomas can take over the architecture of the ovary. The sooner women can seek help, the better.” That’s not all Chan is mindful of. Once the IVF process begins, “it can increase levels of estrogen, which can cause endometriosis to flare,” Chan said. “However, it’s a short time that patients have to be on those protocols. I’m very careful about monitoring pain symptoms in patients with endometriosis during ovarian stimulation.”
SEE ALSO: ENDOMETRIOSIS AND CONCEPTION
Director of Reproductive Endocrinology and Infertility at Lenox Hill Hospital, Dr. Tomer Singer, has found that patients with endometriosis typically need double the number of cycles to achieve viable pregnancy through IVF. This is often due, he says, to diminished egg quality.
“We tend to monitor patients with endometriosis more frequently,” Singer said. “During ovarian stimulation in endometriosis patients, I typically use Letrozole, which reduces estrogen levels. I also use Lupron, which helps pelvic pain. Lupron is typically used 35 hours before egg retrieval.”
Singer recommends women check out Sartcorsonline.com/Predictor/Patient and enter some information to predict success rates with assisted reproductive technology. For women with endometriosis, the calculator also provides a specific box to check off. Despite the wonders of assisted reproductive technology, Singer admits that there’s no better savior in the face of endometriosis and fertility than time itself. “If you have endometriosis, we encourage freezing eggs at a younger age,” Singer adds. “If a patient freezes eggs at age 30,” he says, “they have a 50 percent IVF success rate.” (Article was first published here)
About EndoFound: The Endometriosis Foundation of America strives to increase disease recognition, provide advocacy, facilitate expert surgical training, and fund landmark endometriosis research. Engaged in a robust campaign to inform both the medical community and the public, the Endofound places particular emphasis on the critical importance of early diagnosis and effective intervention while simultaneously providing education to the next generation of medical professionals and their patients.
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HEARTBREAKING: Gabrielle Union Reveals She’s Had Eight or Nine Miscarriages
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Gabrielle Union has opened up about her continued struggles with infertility in her new book We’re Going to Need More Wine.
Union, 44, who has been married to Dwyane Wade since April 2014 writes about her attempts at trying to conceive.
“I have had eight or nine miscarriages,” Union writes. “For three years, my body has been a prisoner of trying to get pregnant—I’ve either been about to go into an IVF cycle, in the middle of an IVF cycle, or coming out of an IVF cycle.”
While Union has previously spoken about her IVF journey, the Being Mary Jane actress has now opened up the heartbreaking details of her pregnancy struggles and how she has been dealing with the public pressure to conceive.
She goes on to say that while at first she wasn’t interested in having kids, her mind changed once she became a stepmom to Wade’s sons. And just like many women, she’s constantly asked whether or not she wants children:
“For so many women, and not just women in the spotlight, people feel very entitled to know, ‘Do you want kids?’ A lot of people, especially people that have fertility issues, just say ‘no’ because that’s a lot easier than being honest about whatever is actually going on. People mean so well, but they have no idea the harm or frustration it can cause.”
“Once a month I look like I’m in my second trimester because I’m bloated,” she continues in her book, explaining the side effects of IVF. “It leads to the questions and it leads to the rumors and anytime I go into a doctor’s office I feel like I’m a member of SEAL Team Six undercover because I don’t want people to speculate.”
Read more in Union’s book, We Are Going To Need More Wine out October 17 (Pre-Order Now)
Also Read: Pregnancy And Postpartum Depression
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