Endometriosis: Pain and Infertility

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A World Leader in Effective Natural Treatment

Clear Passage® physical therapy is a recognized world leader in treating endometriosis pain and infertility without surgery or medications. By treating the cause (rather than symptoms), we’ve provided profound relief from both period and intercourse pain to thousands of women diagnosed with endometriosis. We’ve also brought hundreds of natural pregnancies and births to women diagnosed as infertile due to endometriosis. We regularly clear blocked fallopian tubes in women, most of whom then report a natural pregnancy and birth after just five days of our all-natural therapy – a complete treatment that can feel like a deep, site-specific massage.

Treating the Cause, Naturally

Our high published success rates are due to an all-natural process we’ve developed over 30+ years that has been shown to decrease or eliminate the glue-like internal scars (adhesions) that regularly form at endometrial implants. By focusing on the mechanical causes of the pain and infertility, we succeed in ways that other treatments simply cannot, as explained below.

Surgery to cut or burn endometrial implants and associated adhesions can sometimes relieve pelvic pain, but surgery nearly always causes new adhesions to form. ‘Minimally invasive’ surgery, such as laparoscopy, has been shown to cause new adhesions in 97% of cases (Journal of Laparoscopic Surgery, 2002). Thus, while surgery can sometimes provide relief, it nearly always causes new adhesions to form, exacerbating the original problem.

Drugs can decrease pain while they are being used by stopping the menstrual period. Relieved of the natural endometrial tissue swelling each month, there is no pull on the underlying adhesions; thus, pain is relieved while taking the medication. Unfortunately, the pain relief is temporary. Moreover, no medication has been shown to decrease the glue-like adhesions that are at the root of the pain. In stopping monthly periods, the medications also prevent any chance of pregnancy.

Clear Passage® therapy focuses on a permanent solution: detach the adhesions that form between endometrial implants and the delicate structures in the female reproductive tract. 

Treating Pain and Sexual Function: So small they can be nearly invisible, adhesions can form on vaginal walls, causing significant intercourse pain and sexual problems in women with endometriosis. Published studies in respected journals show Clear Passage® significantly relieved pain while increasing sexual function (desire, arousal, lubrication, and orgasm) in most women with endometriosis (Fertility and Sterility, 2006; Journal of Endometriosis, 2011).

Treating Female Infertility: Deeper in the body, adhesions can block fallopian tubes, preventing a woman’s egg from meeting her partner’s sperm to create a new life. A woman’s reproductive organs must be able to move easily for pain-free conception to occur. Tiny but powerful adhesions that form naturally in nearly all women with endometriosis can glue or bind the delicate organs that comprise the female reproductive tract. Once we detach endometrial adhesions, your body can return to an earlier state, decreasing your pain while increasing your fertility and sexual function.

Published Success Rates

Pain Relief

Shown here, our success in decreasing Intercourse and Period Pain has been shown to last over a year, the same length of time generally measured by studies on surgery.

Success Rates

Decreasing Intercourse Pain
Increasing Sexual Function

SUCCESS RATES:
Decreasing Period Pain

Infertility – Overall Pregnancy Rate: 43%

Our published success rate treating female infertility actually includes women with totally blocked fallopian tubes. (Alt Ther Hlth & Medicine, 2018)

Infertility: Clear Passage® Compared to IVF

Our published success treating female infertility in women with endometriosis generally surpass IVF success rates, at a fraction of the cost of IVF. Further advantages include:

  • No drugs
  • No surgery
  • Costs are a fraction of IVF
  • We never endanger embryos
  • No need to self-inject medications to achieve a pregnancy
  • No need to repeat therapy to have subsequent children after your first
  • Common side effects are decreased pelvic pain and increased sexual function
  • If therapy is not successful, it has been shown to increase the subsequent IVF in every age group, as shown below

Chance for Pregnancy with and without Clear Passage®

There is no substitute for published facts.

If you are serious about reversing your infertility, there is no substitute for reliable data published in peer-reviewed medical journals. The studies cited in these pages are indexed in PubMed, the ‘gold standard’ search engine maintained by the U.S. National Institutes of Health (NIH).

Additional data comes from the U.S. Centers for Disease Control (CDC) database of success rates for U.S. reproductive clinics. To allow time for live births and data collection, the CDC report shows results of procedures performed 2 to 3 years prior.

  • Clear Passage® alone
    42.81%
  • Endometriosis surgery[i]
    41.90%
  • Clear Passage®, then IVF
    55.36%
  • IVF alone:
    24.11%[ii]

Details:

Pregnancy Rates using Clear Passage® – 42.81%

This must be considered an excellent rate considering that more than one-half of those patients with physician-diagnosed endometriosis also presented with additional conditions such as blocked fallopian tubes and elevated FSH. The overall pregnancy rate was 42.8% (128 of 299 patients).

Natural Pregnancy Rates after Surgery – 41.90%

In this small study of natural conception after surgery for 43 women[iii], the overall pregnancy rate was 41.9% (18/43). The spontaneous pregnancy rate was not associated with the severity of endometriosis or laparoscopic findings, or the type of surgery. The pregnancy rate for stage IV was relatively low (20.0%) compared to stages I, II, and III (35.7%, 44.4%, and 53.3%, respectively), although it did not reach statistical significance.

Pregnancy Rates for Clear Passage®, then IVF  55.36%

The 55.36% figure reflects the overall success rate for all ages, all diagnoses. Individual age groups are shown in a table below using data from the CDC and a published study[iv] that examines Clear Passage® rates.

The table below compares pregnancy rates after embryo transfer for IVF with and without a course of our therapy given within 15 months before starting an IVF cycle. Simply view your age group in the table below to understand our “combined rate” for IVF following Clear Passage® therapy.

Calculated by an independent biostatistician, these results show a very high statistical significance (credibility) in all age categories. This data gives a very good picture of the advantage of using Clear Passage® therapy before IVF.

IVF Pregnancy Rates With & Without Clear Passage®

Age GroupRate with CP TherapyRate without CP TherapyStatistical p-value
Under 3568%45%0.0067
35-3760%37%0.0133
38-4049%29%0.0107
41-4254%19%0.0039
Over 4244%9%<0.0001

Note: all p-values in this chart are statistically significant
Percentages are rounded to whole numbers.

Pregnancy Rates for IVF alone (USA) – 24.11%[v]

Advantages of IVF

  • Physician monitored
  • Whether success or failure, results occur quickly
  • Additional eggs may be saved for future transfers

Disadvantages of IVF

  • If unsuccessful, the attempt must be repeated
  • Must be repeated for every desired pregnancy
  • Generally involves surgery to remove the swollen tube(s)
  • Involves pharmaceutical medications; some may wish to avoid
  • Not shown to improve intercourse pain or sexual function

Worldwide IVF and Surgical Success Rates

  • United States:                                24.11%[vi] 
  • United Kingdom:                  2% to 29%[vii]
  • Japan:                                                      ~ 5%[viii]
  • Australia / New Zealand    ~10%-15%[vi]
  • United States:
    24.11%[vi]
  • United Kingdom:
    2% to 29%[vii]
  • Japan:
    ~ 5%[viii]
  • Australia / New Zealand
    ~10%-15%[vi]

Several studies examine worldwide success rates for IVF. Most note a significant decline in pregnancy rates over the last 10 – 12 years[ix] as shown below.

United States IVF rates:

In vitro fertilization (IVF) is often suggested for women with blocked fallopian tubes. Based on the CDC’s 2018 Fertility Clinic Success Rates Report, the 306,197 ART cycles performed at 456 reporting clinics in the United States during 2018 resulted in 73,831 live births. Based on the above, the CDC shows a 24.11% national success rate for Assisted Reproductive Techniques in the USA, 99% of which are IVF. Some cycles were designed for ‘egg harvesting’ with the intent of using those eggs in later transfers, which makes more exact results difficult to tabulate. Thus, we made further inquiry with the results shown below.

Worldwide and US Downward Trend in IVF Success:

A 2019 study[x] of two decades of IVF pregnancy rates showed a downward trend in worldwide and US IVF pregnancy rates starting in 2010. The study notes that US live birth rates for fresh cycle IVF or ICSI reached a high in 2008, plateaued till 2010, and have since steadily declined with profound drops between 2013 and 2016, the last year cited in the study.

United Kingdom IVF Rates:  2% to 29%

The British National Health Service (NHS) reports[xi] that between 2014 and 2016, the percentage of IVF treatments that resulted in a live birth was:

  • 29% for women under 35
  • 23% for women aged 35 to 37
  • 15% for women aged 38 to 39
  • 9% for women aged 40 to 42
  • 3% for women aged 43 to 44
  • 2% for women aged over 44

Other countries

IVF rates in Japan and in (combined) Australia and New Zealand cited in the study were:
Japan: ~ 5%[xii]
Australia / New Zealand:  10%-15%vi

Citations:

[i] Lee HJ, Lee JE, Ku SY, et al. Natural conception rate following laparoscopic surgery in infertile women with endometriosis. Clin Exp Reprod Med. 2013;40(1):29-32. doi:10.5653/cerm.2013.40.1.29
[ii] https://www.webmd.com/infertility-and-reproduction/guide/in-vitro-fertilization#3
[iii] Lee HJ, Lee JE, Ku SY, et al. Natural conception rate following laparoscopic surgery in infertile women with endometriosis. Clin Exp Reprod Med. 2013;40(1):29-32. doi:10.5653/cerm.2013.40.1.29
[iv] Rice AD, Patterson K, Wakefield LB, Reed ED, Breder KP, Wurn BF, King CR, and Wurn LJ. (2015a). Ten-year retrospective study on the efficacy of manual physical therapy to treat female infertility. Alt Ther Health Med, 21(3):32-40.
[v] https://www.webmd.com/infertility-and-reproduction/guide/in-vitro-fertilization#3
[vi] https://www.cdc.gov/art/artdata/index.html
[vii] https://www.nhs.uk/conditions/ivf/ Kushnir VA, Barad DH, Albertini DF, Darmon SK, Gleicher N. Systematic review of worldwide trends in assisted reproduction 2014–2013. Reprod Biol Endocrinol 2017a;15:6.
[viii] Kushnir VA, Barad DH, Albertini DF, Darmon SK, Gleicher N. Systematic review of worldwide trends in assisted reproduction 2014–2013. Reprod Biol Endocrinol 2017a;15:6.
[ix] Gleicher N, Kushnir VA, Barad DH. Worldwide decline of IVF birth rates and its probable causes. Hum Reprod Open. 2019;2019(3):hoz017. Published 2019 Aug 8. doi:10.1093/hropen/hoz017
[x] Gleicher N, Kushnir VA, Barad DH. Worldwide decline of IVF birth rates and its probable causes. Hum Reprod Open. 2019;2019(3):hoz017. Published 2019 Aug 8. doi:10.1093/hropen/hoz017
[xi] https://www.nhs.uk/conditions/ivf/
[xii] Kushnir VA, Barad DH, Albertini DF, Darmon SK, Gleicher N. Systematic review of worldwide trends in assisted reproduction 2014–2013. Reprod Biol Endocrinol 2017a;15:6.

Learn more about Age and High FSH factors of infertility.

Learn the factors of Blocked Fallopian Tubes in infertility.

Learn the factors of Hydrosalpinx in infertility.

Learn the factors of PCOS in infertility.