Four in every ten women who have a problem getting pregnant have endometriosis. Generally, the more severe and the more extensive the endometriosis, the less is the chance of becoming pregnant without medical help.
On the basis of the first examination and the diagnosis, you will be able to discuss different possibilities with your doctor.
The removal of endometriosis and its associated adhesions may be carried out by laparoscopic surgery and this enhances natural conception rates.
A second possibility involves intrauterine insemination (IUI). This is the most common form of infertility treatment whereby the most active sperm are artificially brought into the womb. For IUI to be done, it is a prerequisite that the tubes should be open.
Should IUI not be an option, the next option is in vitro fertilisation (IVF). For this, one or more egg cells (oocytes) are fertilised outside the womb with sperm; after fertilisation the resultant embryos are placed back in the womb. In order to maximise the harvest of oocytes, the procedure is always accompanied by hormonal stimulation of the ovaries.
In consultation with your gynaecologist, you can be referred directly to our fertility centre of the Haaglanden MC.