Endometriosis 

Specialised Endometriosis Unit

The high rate of endometriosis in women deserves its own approach in a specialised unit formed of diagnosis and treatment specialists. This chronic disease may cause pain and difficulty continuing pregnancy. Our department carries out an individualised diagnosis, guaranteeing the best treatment quality and comprehensive care for patients.

What is endometriosis?

Endometriosis is a benign but chronic illness, the causes of which are unknown. It is characterised by abnormal growth of the endometrial tissue, which covers the uterus, in locations outside of the uterine cavity. It may appear on a woman’s ovaries and cause a type of cyst called an endometrioma and may also appear in the Falopian tubes. As a consequence, there is a reduced ovarian reserve, an alteration in menstrual cycles and immunological deterioration that negatively affects the implantation of the embryo in the uterus.

Diagnostic 

The disease gets progressively more complicated with age. Therefore it is very important to detect it at an early fertile age. A diagnosis of endometriosis is suspected due to symptoms presented by the patient: chronic pelvic pain, painful menstruation, urinary and/or intestinal symptoms, difficulty remaining pregnant; a physical exam and ultrasound showing the formation of cysts on the ovaries or nuclear magnetic resonance in cases of profound endometriosis and affectation of the rectum.

Infertility is caused by the ovaries being affected, obstructing the normal development of the follicles and the maturation of the oocytes; even impeding ovulation. When it appears in the uterine tubes, it is an obstacle to tube permeability, meaning that the passage of an egg through the tube when it is released from an ovary is impossible, so it is not fertile and does not reach the uterus.

Another of the causes is due to alterations in the immune system, which can affect endometrial receptivity and embryo implantation, as the increased cells that form in the auto-immune system leads to the spermatozoid and egg being identified as foreign bodies and attacked.

Treatment according to endometriosis type

If pregnancy does not occur, reproduction techniques can provide hope. Our specialised unit customises each treatment in terms of the level of endometriosis that the patient is suffering from and how the progress presents.

  • Artificial Insemination. Young patients with level I and II endometriosis.
  • In Vitro Fertilisation (FIV). Patients with type III and IV conditions. This technique offers the most possibilities, above all if the tubes are affected.
  • Egg Donation Patients with severe endometriosis, after various failed IVF cycles. There are cases where access to the ovaries for ovarian puncture is impossible due to multiple adhesions, and others in which the ovarian reserve is very low.
  • Egg vitrification When it is a case of a progressive disease, we recommend that women diagnosed with endometriosis vitrify their eggs as soon as possible if they wish to have children in the future. In this way, they are able to ensure that the quality of the eggs does not reduce and the IVF treatment is more successful. In addition, it is important to state that ovarian reserve is also affected by endometriosis and may lead to early menopause.

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