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When Life Is a Pain

The Facts on Endometriosis

By Carma Haley

In relation to the effects of endometriosis on the ability to conceive, Dr. Michael states that the lines of clarity often cross with lines of uncertainty. "There are some things that are obvious to us and there are others that are a mystery," says Dr. Michael. "In the absence of abnormalities, the contributions of endometrial tissue become unclear. There could be adhesions that block the tubes, which does not allow the egg to travel to the uterus. There could be adhesions to the ovary, which inhibits the 'pick up' of the egg by the tube or inhibits the motility of the egg down to the tube to the uterus. In addition, there could also be problems with intercourse; it could be painful, which prevents reproduction from happening. Each woman is different and each time it's a matter of doing what we know while learning along the way."

Whether related to the inability to conceive, painful intercourse or cycles of monthly pain, the condition of endometriosis affects the way a woman lives as well as the quality of her life. However, with proper treatment and medical intervention, women who are affected by endometriosis can find relief and build on the foundation of their family. "These days most women – especially those who develop endometriosis and are still relatively young – should be able to conceive a child or find relief from pain and discomfort one way or another," says Dr. Michael. "Try to be hopeful. A majority of women who would normally be good candidates to become pregnant will – with time and effort – become pregnant. And those who have lived their lives in pain will find comfort."

Want to see more?

• Safeguard Your Fertility: 6 Simple Steps
• Making Sense of PCOS: Answers to Common Questions
• The Painful Truth: Living With Endometriosis
• Talk about it!