With mild endometriosis, woman should continue to attempt pregnancy. Use of ovulation induction with
clomiphene citrate, such as Clomid or Serophene is recommended. Washed
intrauterine insemination has been demonstrated to improve pregnancy rates in women diagnosed with endometriosis. Given sufficient time and without other factors such as irregular ovulation, male factors, or cervical factors, many patients will become pregnant. With moderate to severe endometriosis, surgical excision of all the disease with reconstruction and restoration of anatomy has been shown to achieve pregnancy rates. Some studies have suggested that post-surgical medical suppression with gonadatropin agonists will improve pregnancy rates. It is succeeded particularly when the surgical approach has been suboptimal, when the surgeon did not remove all the endometriosis. However, the mechanism here is still a mystery of becoming pregnant with endometriosis. Many times the decision about ancillary medical therapy will be made based on a number of other factors. These factors are most commonly patientβs age, endometriosis stage, and what her desired outcomes wishes. However, I have to say you should talk to your doctor if having a baby would cure endometriosis, but I think surgery is the best way.
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