According to counts with inside and outside, probably some half of about endometriosis’s sickness patient simultaneously contracts the sterility. Along with this sickness disease incidence rate’s rise, the endometriosis sickness already became causes the sterile primary cause. Therefore endometriosis sickness, but also has the possibility birth, then has become the question which the most patients understood eagerly.
Why the endometriosis sickness will create sterile? To the present was still a riddle. Generally the woman sterile mainly has two aspect reasons. And what sees is the oviduct block system, has blocked the sperm the channel which gathers with the egg; Next is as a result of the endocrine disorders, but has not ovulated the function. But these two aspect’s reason could not explain the endometriosis sickness patient’s sterility. Because this kind of patient general menstruation rule, has the normal ovulation; And after oviduct’s inspection, the majority oviducts is obviously unobstructed, however, at surgery or peritoneoscopy, often may the obvious oviduct week because of including the umbrella end part adhesion, therefore the people tend to the internal membrane dystopia sickness sterility, explained causes the oviduct function for the adhesion to be abnormal, but these slight function change possibly affects egg’s collection and the movement, thus hindered to become pregnant. In addition, possibly also has some endocrine or the immunity factor.
Therefore regarding young hope birth’s patient, current treatment goal, not only lies in eliminates the dispersion in pelvic cavity’s endometriosis pathological change, meanwhile should restore the birth function as far as possible. Treat the internal membrane dystopia sickness using the hormone class medicine and the surgery, possibly improves the patient to become pregnant ability. Generally, after false pregnancy therapy, approximately some 30% case after treatment becomes pregnant. But passes through the so-called conservative surgery which one in front of time mentioned, in the technique excises the internal membrane dystopia pathological change as far as possible, simultaneously around the womb, the oviduct and ovary’s adhesion 11 loose solutions, and the careful repair injured area, reduces once more adhesion, after the technique, the rate of pregnancy may reach 50%. Therefore, regarding these young cases, if in the pelvic cavity has the obvious cyst or the tubercle, favors performs a time conservative promptly surgery, provides one to the patient high to become pregnant the opportunity. Although after this kind of surgery’s recurrence rate is quite high, but mentions regarding an urgent need birth’s woman, is worth attempting.
