L'endometriose est une pathologie frequente qui peut etre legere ou severe et profonde.
Elle peut causer des difficultes à concevoir par inflammation et adherances ce qui altere l'ovulation, bouche les trompes, et altere l endometre.
Il y a des femmes qui tombent enceintes sans aucun traitement et d'autres avec traitement. Les traitements visent à augmenter les chances de grossesse mais aucun traitement guerit totalement l'endometriose. Il faut en premier eliminer les autres causes d'infertilite si on retient l''endometriose uniquement. D'habitude, elle cause une infertilité quand elle est severe donc trompes bouchees et endometre inflammatoire, dans ce cas les meilleures chances sont avec la fecondation in vitro. Il faut surtout ne pas enlever les kystes ovariens car ca detruit les ovaires et donc la FIV ne reussit plus.
Les chances par fiv si bien preparee sont de 40% de succes.
Le seul traitement curatif de l endometriose est la chirurgie complete avec hysterectomie et excision de toutes les lesions ce qui est incompatible avec la grossesse. Cette chirurgie est faite pour traiter la douleur s'il n y a plus de desir de grossesse.
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