Top Four Common Causes of Female Infertility
Endometriosis is a benign condition in which the lining of the uterus is growing where it is not supposed to be – outside of the uterus, often at the back of uterus or around the ovaries or on other organs.
Endometriosis is a very common disease and it can start at any age. Up to 10% of all women have this disease.
There are different stages of the disease, ranging from minimal to severe. Most women have minimal or mild endometriosis, characterised by superficial implants and mild adhesions. Moderate and severe endometriosis is characterised by chocolate cysts and more severe adhesions.
A very common symptom of endometriosis is infertility – endometriosis affects between 25 and 40% of women facing fertility challenges.
This is because endometriosis can cause inflammation and scar tissue. Endometriosis is an inflammatory disease, and the inflammation it causes can interfere with a woman’s ovulation.
Endometriosis can also cause anatomical abnormalities such as scarring that can reduce the chances of conceiving. For example, endometriosis adhesions may prevent the fallopian tubes from picking up the egg from the ovary during ovulation.
Endometriosis can also grow on the surface of the ovary as implants or invade the ovary and develop a blood-filled cyst called an endometrioma, or a “chocolate cyst” (so called because over time the blood they contain darken to a deep reddish-brown colour). These cysts may be as small as a pea or grow larger than a grapefruit.
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