talwar.pankaj1@gmail.com +91 8287883005, 9810790063
Best IVF Specialist Doctor in Delhi, Gurugram

Endometriosis IUI & IVF

This training video will discuss how endometriosis can significantly impact fertility and challenge patients seeking IUI or IVF treatments. A thorough understanding of the condition, combined with individualized treatment plans, can help improve the chances of successful conception.

Understanding Endometriosis

  • Chronic condition where endometrial tissue grows outside the uterus
  • Symptoms include dysmenorrhea, dyspareunia, and infertility
  • Retrograde menstruation and immune system dysfunction as potential causes

Endometriosis and Fertility

Ovarian function and egg quality
  • Reduced ovarian reserve
  • Impaired follicular development
  • Altered hormonal environment
  • Endometriomas and dermoid cysts
  • Benign ovarian growths
  • Adversely affect ovarian function
  • May require surgical removal
  • Inflammation and adhesions
  • Pelvic inflammation due to endometriosis
  • Formation of scar tissue and adhesions
  • Obstruction or distortion of fallopian tubes and pelvic organs
  • Compromise natural conception and fertility treatments
  • Antral Follicle Count (AFC) and Ovarian Reserve

    Assessment of ovarian reserve in endometriosis patients
  • Non-invasive ultrasound evaluation
  • Determines the number of small, developing follicles
  • Indicator of a woman’s reproductive potential
  • European Society of Human Reproduction and Embryology (ESHRE) guidelines

  • Standardization of AFC measurement
  • Ensures accuracy and comparability
  • Helps tailor fertility treatments to individual patients
  • Intrauterine Insemination (IUI) for Endometriosis Patients

    Ovulation induction with FSH and LH
  • FSH and LH medications
  • Stimulate follicle development
  • Enhance ovulation for timed insemination
  • Progesterone supplementation for luteal phase support (LPS)
  • Progesterone supplementation
  • Promotes endometrial receptivity
  • Increases chances of implantation
  • Best suited for mild endometriosis cases
  • IUI most effective in less severe cases
  • Minimal impact on fallopian tubes and pelvic organs
  • Higher success rates compared to moderate or severe endometriosis
  • Luteal Phase Deficiency (LPD) and Gonadotrophin Treatment

    Importance of progesterone for endometrial receptivity

  • Essential for preparing the uterus
  • Supports implantation and early pregnancy
  • Gonadotrophin therapy to improve pregnancy outcomes

  • FSH and LH medications
  • Stimulates follicle development and ovulation
  • Enhances luteal phase hormone levels
  • Improves chances of successful pregnancy
  • In Vitro Fertilization (IVF) for Endometriosis Patients

    Moderate to severe endometriosis
  • More extensive pelvic adhesions and cysts
  • Reduced fertility due to tubal or ovarian dysfunction
  • IVF bypasses fallopian tubes, increasing chances of conception
  • Poor ovarian reserve (POR)
  • Limited number of available eggs
  • Controlled ovarian hyperstimulation during IVF
  • Maximizes the number of eggs retrieved for fertilization
  • Removal of endometriomas via cystectomy prior to IVF
  • Surgical procedure to excise ovarian cysts
  • Reduces inflammation and improves ovarian function
  • Optimizes the environment for successful IVF treatment
  • Potential use of egg donation in cases of premature ovarian failure (POF)
  • POF results in a diminished or depleted egg supply
  • Egg donation offers an alternative path to parenthood
  • Healthy donor eggs increase the likelihood of IVF success
  • IVF Success Rates and Endometriosis

  • Lower success rates compared to other causes of infertility
  • Importance of individualized treatment plans and proactive management
  • Improving Fertility Outcomes for Endometriosis Patients

  • Surgical intervention to remove endometriomas and adhesions
  • Hormonal suppression therapy to minimize endometriosis symptoms
  • Lifestyle modifications and pain management strategies
  • Fertility Supplements for Endometriosis Patients

  • Coenzyme Q10, DHEA, and Melatonin for improved egg quality
  • Antioxidant and anti-inflammatory properties to support reproductive health
  • Emotional Support and Coping Strategies
  • Importance of mental health and emotional well-being
  • Support groups, counseling, and stress management techniques