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Recurrent Endometriosis Prevention

  • Diagnosis & Treatment of Endometriosis
  • Recurrent Endometriosis Prevention
  • Advanced Laparoscopy
  • Management of Pelvic Pain
  • Treatment of Infertility
Home Endometriosis Recurrent Endometriosis Prevention

Recurrent Endometriosis Prevention

Why Endometriosis Comes Back

Recurrence of endometriotic lesions is stimulated by estrogens, the female hormones produced by the ovaries. During the normal menstrual cycle, blood levels of estradiol (the main estrogen) fluctuate between 40 and 400 pg/mL. These levels are necessary to achieve pregnancy but they also contribute to the recurrence of endometriosis.

How to Prevent Recurrence

Estradiol levels between 50 and 70 pg/mL are adequate for normal body functions, do not reactivate endometriosis, and will prevent menopausal changes. There are two methods to prevent or delay recurrence of endometriosis in a woman who is not planning to conceive: 1) By changing the hormonal environment from estrogenic to strongly progestational using certain types of birth control pills, and 2) By maintaining blood estradiol levels between 50 and 70 pg/mL using GnRH analogs and add-back regimens.

Management of Recurrent Endometriosis

In women with recurrent endometriosis and recurrent pelvic pains, several options of treatment may be considered. Clinical response to prior surgery and medical treatments as well as frequency and intensity of side effects of these treatments should be the guidelines in treatment selection. If there was a good and lasting response after surgical resection, another laparoscopic surgery may be considered. It should, however, be kept in mind that repeated surgeries cause adhesions and destruction of healthy ovarian tissue and may adversely affect fertility.

Clinical

Since 2004, our IVF pregnancy rates in women with endometriosis younger than 35 are upwards of 50%. We also have had pregnancies and babies delivered from unfertilized cryo-preserved eggs. This offers women with endometriosis a chance for cryopreservation and storage of their eggs until they are ready to start a family.

Why Egg Freezing is Beneficial

Women with rapidly progressing endometriosis who are not in position to begin their families may benefit from cryopreservation of eggs for future fertilization and pregnancy.

Many women have unfertilized eggs cryopreserved and stored with a modified technique. The eggs were then thawed and fertilized and the resulting embryos were transferred.

This approach offers women with endometriosis, career women who wish to delay childbirth, couples troubled by freezing embryos, and for those facing treatments that will affect their fertility a chance for cryopreservation and storage of their eggs until they are ready to start a family.

Endometriosis Institute

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Oak Brook, IL 60523
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  • Home
  • About Us
    • Overview
    • Dr. Dmowski
    • Dr. Braun
    • Dr. Rana
    • Selected Bibliography
  • Clinical Trials
  • Endometiosis
    • Overview
    • Diagnosis & Treatment of Endometriosis
    • Recurrent Endometriosis Prevention
    • Advanced Laparoscopy
    • Management of Pelvic Pain
    • Treatment of Infertility
  • Consultation
Endometriosis Institute