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CHA Ilsan Medical Center

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Endometriosis Clinic

Endometriosis Clinic raises the success
rate of pregnancy through
surgery and hormone therapy treatments.

For inquires:
031-782-8300(KOR) / +82-10-8866-2268(ENG)

Introduction: Endometriosis Endometriosis is a disorder in which the tissue that forms the lining of your uterus grows outside of your uterine cavity. It usually affects the ovaries, fallopian tubes, and around the uterus.

The method of treatment largely depends on the severity of symptoms, future pregnancy plans, and age of patient.

Symptoms: The primary symptom of endometriosis is pelvic pain, often associated with menstrual periods, pain during intercourse, infertility, or no symptoms at all. Also pain during urination or bowel movements may occur. However, The severity of your pain doesn’t indicate the degree or stage of the condition.

Diagnosis

Paying close attention to possible symptoms of endometriosis such as presence of dysmenorrhea or pain during intercourse, infertility, etc.
During a pelvic exam, your physician palpates areas in your pelvis for abnormalities, such as cysts on your reproductive organs
An ultrasound and ROMA test is done if it needs further differentiation.
Elevated CA 125 in the blood test is a indicating factor for endometriosis.
Laparoscopy is essential to diagnose endometriosis.

A 1cm incision near your navel is made and a laparoscope is then inserted, looking for signs of endometrial tissue outside the uterus. This exam is required to decide on a proper treatment method.

Why Does Endometriosis Cause Infertility?: Endometriosis can produce scarring and adhesions, which can cause the fallopian tubes and ovaries to become blocked, preventing the sperm and egg from coming into contact with each other. Several other factors that can adversely affect pregnancy are angiogenesis, cytomolecular factors, and immunological factors.

Treatment of Endometriosis – Surgery, Assisted Reproductive Technology: Endometriosis does not naturally treat itself and so surgery is required to treat endometriosis and to increase the rate of successful pregnancy. Typically, a laparoscopic surgery is performed to manage the severity of endometriosis or if the patient has a history of multiple failed IUI or IVF attempts.

Before surgery, it is crucial to take enough time to consider the condition of ovarian function and the ability to become pregnant naturally (conditions of the fallopian tube and semen). It is recommended to try to get pregnant naturally 3-6 months after surgery for higher success rate.

If the ovarian function is deteriorated, woman's age is too advanced, or if the woman's fallopian tube or the male semen is not suitable for natural pregnancy, assisted reproductive technology may be recommended rather than surgery. Prior to assisted reproductive technology, medications can be used to improve pregnancy outcome with gonadotropin agonist (for 3 months).

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Fertility Center

Endometriosis Clinic