Dr.Gautam N. Allahbadia, MD is the Medical Director of Rotunda – The Center for Human Reproduction, the world-renowned infertility clinic at Bandra, Mumbai, India. The fertility experts along with Dr. Gautam offers services including basic work-up of the infertile Couple, One Stop Fertility Diagnostic Services including hormonal testing, Diagnostic Laparoscopy & Hysteroscopy, Recurrent Pregnancy Loss Clinic, Reproductive Endoscopic Surgery including Fallopian Tube Recanalization, Minimally Invasive Ultrasound Guided Procedures, Uterine Cavity Assessment (Sonocontrast hysterography), Artificial Insemination, Semen Cryopreservation, Semen processing, Ovulation Induction & Monitoring, Evaluation of male patient, Intrauterine insemination, Gonadotropin Cycles, Fallopian Tube Sperm per fusion, GIFT, ZIFT, In Vitro Fertilization (IVF), Embryo Freezing, BET, Oocyte Donor Program, Surrogacy, Assisted Hatching, Surgical Sperm Retrieval (PESA/MESA/TESA/TESE), & Intracytoplasmic Sperm Injection (ICSI). Dr. Allahbadia and his world-class team of Reproductive endocrinologists, embryologists, anthologists and infertility specialists have helped hundreds of couples have babies through Assisted Reproduction. You can contact Dr Gautam Allahbadia at http://www.gautamallahbadia.com/ or fix up an appointment over phone at +91 22 2655 2000

1. When the tissue that normally lines the inside of the uterus is found outside the uterus, it is termed
“endometriosis.” Endometriosis may grow on the outside of your uterus, ovaries, and tubes and even
on your bladder or intestines. It is estimated that infertility can affect around 40% of women with
endometriosis. Interestingly it has been found that 30-40 % of women undergoing laparoscopy as part
of infertility evaluation are found to have endometriosis. About 70 percent of women with
endometriosis do not experience infertility. Modern medicine and ART technology offers women with
endometriosis much treatment options for relief of both pain and infertility.
The Effect of Endometriosis on Fertility and Infertility - Endometriosis
- Causes, Symptoms, Test and Treatment - Diagnosis and Treatment of
Endometriosis - Endometriosis and Infertility - An Overview of
Endometriosis and its effect on Fertility with Dr.Gautam Allahbabdia -
Symptoms of Endometriosis - Reproductive Specialist - Dr Gautam
Allahbadia - Frequently Asked Questions on Endometriosis
Endometriosis is a disease that affects women of reproductive age and that may be associated with both
pelvic pain and infertility. Scientific advances have improved our understanding of this benign (non-
cancerous) but sometimes debilitating condition. And modern medicine now offers women with
endometriosis many treatment options for relief of both pain and infertility.
According to medical statistics it is estimated that infertility can affect around 40% of women with
endometriosis. Infertility can be one of the consequences of endometriosis. Interestingly it has been
found that 30-40 % of women undergoing laparoscopy as part of infertility evaluation are found to have
endometriosis.

2. What is endometriosis?
When the tissue that normally lines the inside of the uterus (endometrium) is found outside the uterus,
it is termed “endometriosis.” Endometriosis may grow on the outside of your uterus, ovaries, and tubes
and even on your bladder or intestines. Rarely, endometrial tissue may spread beyond your pelvic
region. This tissue can irritate structures that it touches, causing pain and adhesions (scar tissue) on
these organs.
How women will know that she has endometriosis?
The primary symptom of endometriosis is pelvic pain, often associated with your menstrual period.
Though many woman experience cramping during their menstrual period, women with endometriosis
typically describe their menstrual pain that's far worse than the usual. They also tend to report that the
pain has increased over time.
Common signs and symptoms of endometriosis may include:
1. Painful periods (dysmenorrhea). Pelvic pain and cramping may begin before and extend several days
into your period and may include lower back and abdominal pain.
2. Pain with intercourse. Pain during sex or after sex is common in endometriosis.
3. Pain with bowel movements or urination. You're most likely to experience these symptoms during
your period.
4. Excessive bleeding. You may experience occasional heavy periods (menorrhagia) or bleeding between
periods (menometrorrhagia).
5. Infertility. Endometriosis is first diagnosed in some women who are seeking treatment for infertility.
6. Other symptoms. You may also experience fatigue, diarrhea, constipation, bloating or nausea,
especially during menstrual periods.

3. The cause of endometriosis is not known, although it often runs in families. Numerous biochemical and
immunological changes have been identified in association with endometriosis, but it is unclear which
may contribute to endometriosis and which simply result from it.
Learn about infertility and endometriosis in detail with fertility expert at
https://ivftreatmentindia.wordpress.com/dr-gautam-allahbadia
Does endometriosis lead to infertility?
If you have endometriosis, it may be more difficult for you to become pregnant. Up to 30% to 50% of
women with endometriosis may experience infertility. Endometriosis can influence fertility in several
ways: distorted anatomy of the pelvis, adhesions, scarred fallopian tubes, inflammation of the pelvic
structures, altered immune system functioning, changes in the hormonal environment of the eggs,
impaired implantation of a pregnancy and altered egg quality.
At the time of surgery, your doctor may evaluate the amount, location, and depth of endometriosis and
tell you whether it is minimal, mild, moderate or severe. Different stages relates with pregnancy
success. Women with severe endometriosis, which causes considerable scarring, blocked fallopian
tubes, and damaged ovaries, experience the most difficulty becoming pregnant and often require
advanced fertility treatment.
Test and Diagnosis
To diagnose endometriosis and other conditions that can cause pelvic pain, your doctor will ask you to
describe your symptoms, including the location of your pain and when it occurs. Tests to check for
physical clues of endometriosis include Pelvic exam, Ultrasound and Laparoscopy. Laparoscopy can
provide information about the location, extent and size of the endometrial implants to help determine
the best treatment options.
Know in detail how endometriosis can be tested and diagnosed and the treatment options available
at http://www.iwannagetpregnant.com/services/diagnostic-services

4. Options available for Endometriosis Treatment
Endometriosis needs the female hormone estrogen to develop and grow. Birth control pills and other
drugs that lower or block estrogen can be effective in improving pain symptoms. For patients who wish
to become pregnant, medical therapy may be considered prior to attempts at conception, but this
treatment usually does not improve pregnancy rates.
If endometriosis is seen at the time of surgery, your doctor will surgically destroy or remove the
endometriosis and remove the scar tissue. This treatment will restore your normal anatomy and will
allow your reproductive organs to function more normally. Your chances of becoming pregnant are
improved after surgical treatment, especially if your endometriosis is in the moderate or severe range.
The combination of surgical and medical therapy may be beneficial in patients attempting to conceive
through in vitro fertilization (IVF). Overall, treatment is highly individualized for each patient. IVF is
appropriate treatment especially if there are coexisting causes of infertility and/or other treatments
have failed, but IVF pregnancy rates are lower in women with endometriosis than in those with tubal
infertility.

5. What can be done to maximise future fertility when diagnosed with Endometriosis?
The birth control pill is commonly prescribed to reduce menstrual cramping and help prevent
endometriosis recurrence. Preventing endometriosis can help preserve fertility, so the pill is an excellent
treatment option following endometriosis surgery if you are not yet ready to become pregnant. Women
with endometriosis should also strongly consider consulting with a fertility specialist, (a specialist in
Reproductive Endocrinology/Infertility), even if they are not yet ready to try to conceive. This is
particularly important if you are over 30 or if you have “decreased ovarian reserve.” Fertility in women
decreases with age. In addition to age, “ovarian reserve” also helps predict your ability to conceive.
Surgery to remove or destroy endometriosis involving the ovaries may also reduce ovarian reserve and
thus lower a woman’s chances for pregnancy even with fertility treatment such as IVF. Women with
moderate to severe endometriosis may have scarring that can prevent the egg from entering the
fallopian tube. Mild and minimal endometriosis are also associated with infertility, so all women with
endometriosis need to consider the impact endometriosis may have on their fertility. A newer option is
for women to freeze eggs for possible future use in the event they experience infertility. Though egg
freezing is costly and is usually not covered by insurance it is always better to opt for this option.
Many women believe endometriosis will prevent them from having children. This is a myth. Although
some does experience infertility, about 70 percent of women with endometriosis do not. There are no
preventive measures to avoid the condition. A woman can manage the symptoms only if she is
diagnosed.
Finding a doctor with whom you feel comfortable is crucial in managing and treating endometriosis. You
may also want to get a second opinion before starting any treatment to be sure you know all of your
options and the possible outcomes. About 70 percent of women with endometriosis do not experience
infertility.

6. Gautam N. Allahbadia, MD is the Medical Director of Rotunda – The Center for Human Reproduction,
the world-renowned infertility clinic at Bandra, Mumbai, India. Services offered by Dr. Gautam and his
Infertility Clinic includes basic work-up of the infertile Couple, One Stop Fertility Diagnostic Services
including hormonal testing, Diagnostic Laparoscopy & Hysteroscopy, Recurrent Pregnancy Loss Clinic,
Reproductive Endoscopic Surgery including Fallopian Tube Recanalization, Minimally Invasive Ultrasound
Guided Procedures, Uterine Cavity Assessment (Sonocontrast hysterography), Artificial Insemination,
Semen Cryopreservation, Semen processing, Ovulation Induction & Monitoring, Evaluation of male
patient, Intrauterine insemination, Gonadotropin Cycles, Fallopian tube Sperm per fusion, GIFT, ZIFT, In
Vitro Fertilization (IVF), Embryo Freezing, BET, Oocyte Donor Program, Surrogacy, Assisted Hatching,
Surgical Sperm Retrieval (PESA/MESA/TESA/TESE), & Intracytoplasmic Sperm Injection (ICSI). Dr.
Allahbadia and his world-class team of Reproductive endocrinologists, embryologists, anthologists and
infertility specialists have helped hundreds of couples have babies through Assisted Reproduction.
You can contact Dr Gautam Allahbadia at http://www.gautamallahbadia.com/ or fix up an
appointment over phone at +91 22 2655 2000
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