190 million women suffer from Endometriosis and PCOS — Learn about the causes and treatment options from IVF expert Dr. Shivani Sachdev Gour.
Endometriosis and PCOS are two major conditions affecting the fertility of millions of women. However, there’s no need to lose hope — motherhood is still possible. The key lies in understanding the impact of these conditions and seeking the right treatment.
The term ‘infertility’ often carries a negative connotation. In India, especially, it is unfortunately associated with social stigma. In our society, marriage is traditionally seen as a sacred beginning to parenthood. But today, women’s lifestyles, priorities, and challenges are evolving. Similarly, for many men, marriage is not just about having children but also about companionship.
As a result, some couples choose to delay parenthood, while others may decide not to have children at all. Beyond personal choices, many external factors are also affecting the reproductive health of both women and men. Among these, Endometriosis and PCOS (Polycystic Ovary Syndrome) are common causes.
PCOS not only leads to painful periods but can also impact a woman’s ability to conceive. However, it is not incurable. With expert guidance and proper treatment, it is entirely possible for women with PCOS to become mothers.
Dr. Shivani Sachdev Gour, Director of SCI IVF Hospital, located in Greater Kailash, Delhi, shares in-depth insights into how PCOS affects fertility and what treatment options are available.
When Is It Considered a Fertility Issue?
Dr. Shivani explains, “If a couple has been trying to conceive through regular unprotected intercourse for 12 months or more without success, it is considered a case of infertility. The issue could lie with either the male or the female partner. Research shows that infertility is equally divided — 33% due to female factors, 33% due to male factors, and 33% due to unexplained reasons.”
PCOS Also Affects Fertility
Speaking about Endometriosis and PCOS, Dr. Shivani Sachdev Gour says, “These are common yet complex conditions that can significantly affect a woman’s ability to conceive. It’s important to understand how these disorders impact fertility. Unfortunately, both PCOS and Endometriosis are often underdiagnosed or misdiagnosed, leading to delayed treatment and emotional stress.”
The Link Between Endometriosis and Fertility
Endometriosis is a condition in which tissue similar to the lining of the uterus grows outside the uterus. This often causes severe pain and discomfort. According to the World Health Organization (WHO), around 190 million women globally suffer from this condition.
How Endometriosis Affects Fertility:
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Hormonal Imbalance:
Endometriosis can disrupt hormone levels, affecting ovulation and making it difficult to conceive. -
Physical Changes:
The growth of endometrial-like tissue can cause adhesions and scarring, leading to distorted pelvic anatomy and blocked fallopian tubes, which prevent the sperm from reaching the egg. -
Ovarian Cysts:
In severe cases, endometriosis can cause cysts in the ovaries, reducing the number of healthy eggs. -
Inflammation:
The presence of endometrial tissue outside the uterus can lead to inflammation in the pelvic region, affecting egg quality and implantation in the uterine lining.
How PCOS Affects Fertility?
Polycystic Ovary Syndrome (PCOS) is a lifestyle-related condition that includes hyperandrogenism, irregular menstrual cycles, and polycystic ovaries. It can impact fertility in the following ways:
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Insulin Resistance:
Many women with PCOS develop insulin resistance, leading to weight gain and hormonal imbalances that complicate fertility. -
Irregular Ovulation:
Hormonal imbalance in PCOS often results in irregular or absent ovulation, making conception difficult. -
Increased Risk of Miscarriage:
Women with PCOS are at a higher risk of miscarriage due to underlying hormonal issues.
Emotional Impact of PCOS and Endometriosis
PCOS and Endometriosis can also take a toll on mental health. Women struggling to conceive often feel inadequate, frustrated, and depressed. However, it’s important to remember that infertility is not the end of the road.
Don’t Lose Hope – Motherhood Is Still Possible
With the right guidance and medical care, women with PCOS and Endometriosis can still become mothers. Emotional support from family and friends plays a crucial role in the journey. Stress management is equally important, as reducing stress can significantly increase the success rate of fertility treatments.
Article Source: https://www.healthshots.com/hindi/intimate-health/know-how-pcos-and-endometriosis-affect-pregnancy/