Fertility Topics Explained from the Experts at SFS
When women with infertility due to endometriosis seek treatment, they are often advised to first try ovarian stimulation (ovulation Induction) with intrauterine insemination (IUI). As with essentially all reasons for infertility, IVF offers a much higher chance of success than proceeding with multiple IUI cycles in endometriosis patients. This is not to suggest that all women with infertility-related endometriosis should automatically resort to IVF. Quite to the contrary; in spite of having reduced fertility potential, many women with mild to moderate endometriosis conceive on their own without treatment. It is just that the chance of this happening is so much lower than normal. The question becomes at what point is the convenience of IUIs outweighed by the improved pregnancy rates seen with IVF? Certainly women over age 35 are already in a category where IUI efficacy is already questionable. Undoubtedly, the presence of endometriosis also greatly lowers the threshold for IVF. Endometriosis is a fairly common condition, and although it is non-malignant, its pathophysiology is characterized by complex alterations, actually deteriorations, in the quality of life and the pelvic/reproductive health of women. The failure of less effective treatment approaches like IUI cycles allows endometriosis to progress over time, and the added estrogen exposure of such treatments can actually worsen the course of endometriosis before success, if ever, is reached. It is therefore not unreasonable to consider a more advanced treatment like IVF rather than IUI in women with known endometriosis. There are several reasons for this consideration.
Your email address will not be published. Required fields are marked *.