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Women with endometriosis are often plagued with debilitating pain. As if the pain — which some say feels like having barbed wire wrapped around the pelvic organs — weren’t enough, many women with endometriosis also have difficulty becoming pregnant. While many of the details surrounding this condition remain a mystery, research continues to suggest that that women with endometriosis should not assume that they will never be able to give birth to a child of their own.

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Endometriosis and infertility

Adhesions tend to form around endometrial implants, causing pain and disrupting a woman's reproductive function.

Adhesions tend to form around endometrial implants, causing pain and disrupting a woman’s reproductive function.

The inability to become pregnant is a major concern for many women with endometriosis. The condition can hinder a woman’s ability to conceive in the following ways:

  • endometrial implants within the fallopian tubes can block the egg’s passage;
  • implants in the ovaries can prevent egg release;
  • adhesions, or bands of internal scar tissue, that form on the uterus, ovaries, and fallopian tubes can prevent the egg from traveling to the tube.

According to G. David Adamson, MD, director of Fertility Physicians of Northern California and board member of the World Endometriosis Research Foundation, approximately one-third of women with endometriosis are able to conceive without any medical intervention. It is difficult for doctors to give women with endometriosis a reliable indication of their chances of becoming pregnant. With that said, many experts believe that patients with severe endometriosis (stages 3 and 4) are more likely to struggle with infertility than those with mild forms (stages 1 and 2).

How to get pregnant with endometriosis

Conservative surgery (typically laparoscopy) to remove endometrial implants is often recommended for women with severe endometriosis who are unable to conceive. This approach has produced significantly higher pregnancy rates in women with stage 1 and 2 endometriosis than in those with stage 3 or 4. Experts believe this to be the case because women with stage 3 or 4 often have deep endometrial implants that are difficult for the surgeon to remove without damaging reproductive organs or tissues.

Hormonal therapies that treat endometriosis itself and help relieve associated pain, such as GnRH agonist or progestins, generally do not help fertility. Therefore, women who are still unable to become pregnant even after surgery often turn to assisted reproductive technologies such as IVF (in vitro fertilization).

manual therapy technique A natural option for treating endometriosis-related infertility is the Wurn Technique. A protocol of manual therapy techniques practiced at Clear Passage Physical Therapy clinics, the focus of this treatment is to decrease the adhesions that attach endometrial implants to reproductive structures and tissues. Therapists certified in the Wurn Technique palpate the body to locate and decrease adhesions, enabling them to treat endometriosis infertility without surgery or drugs. By decreasing the mechanical barriers that prevent conception, the therapy can help women with endometriosis achieve a natural pregnancy or prepare the body for IVF and increase the chances for a successful transfer.

Schedule a free phone consultation with an expert therapist to learn more about how the Wurn Technique can help women with endometriosis become pregnant.

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