Impact of Endometriosis: Infertility – I

Dr. Kanthi Bansal

Endometriosia

• Mechanical distortions caused by adhesions, endometriomas and repeated surgeries.
• Altered immunological and the resulting inflammation.
• Abnormal cytokines in the peritoneal fluid may cause sperm immobilization or interfere with sperm-oocyte interaction or decrease the oocyte quality and embryo quality.

Pathogenesis of infertility associated with endometriosis

• The ovarian reserve is affected. Endometriosis and surgical treatment involving ovaries can also cause a decrease in ovarian reserve by causing a reduction in functional ovarian tissue.
• Biologic mechanisms that may link endometriosis and infertility
  • Distorted pelvic anatomy
  • Adhesions impair oocyte release and/or ovum pickup

Reference

Manual of Endometriosis by Dr. Kanthi Bansal

Impact of Endometriosis Infertility – II-Dr.Kanthi Bansal

Impact of Endometriosis Infertility – I-Dr.Kanthi Bansal

Endometriosis in Adolescent Introduction-Dr.Kanthi Bansal

Impact of Endometriosis: Infertility – Ii-Dr.Kanthi Bansal

Impact of Endometriosis Pain-Dr.Kanthi Bansal

General Impact of Endometriosis-Dr.Kanthi Bansal

Diagnosis of Endometriosis-Dr.Kanthi Bansal

Clinical Symptoms and Signs of Endometriosis-Dr.Kanthi Bansal

Pathogenesis of Endometriosis-Dr.Kanthi Bansal

Clinical Pearls History of Endometriosis-Dr.Kanthi Bansal