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BUMP® for Women with Endometriosis

At BUMP® we know that Endometriosis can influence IVF success. This is why when we provide a second opinion, we use a broad and extensive approach to supporting patients with endometriosis and know that it is important to find out what's causing it. We do this with pathology testing for lifestyle inhibitors and by applying a collaborative approach using a balance between medical, environmental and natural science experts.

We know that collaboration between all health and medical experts brings the best fertility results for women with endometriosis. This includes diet, lifestyle, alternative therapies such as acupuncture, phsyiotherapy, chiropractics, aromatherapy and mind & body work. We collaborate with health, medical and other experts to help you achieve the best possible outcomes.

What is Endo and What Are The Causes?

Endometriosis is a very common gynecological condition affecting women in their reproductive years. The cause of endometriosis is still mostly undetermined, and the condition involves the endometrium (cells making up the internal lining of the uterine cavity) growing outside the uterus, most commonly on fallopian tubes, ovaries, bowel, and the pelvic tissue linings. Endometriosis affects women’s fertility in many ways. Fertility problems associated with endometriosis are caused by a web of factors and at BUMP® we find out what's causing it for example:

  • Hormone imbalance associated with endometriosis
  • Genetic composition
  • Biochemical signalling affecting your fertility and endometriosis
  • Glandular weakness affecting fertility e.g.hypothyroidism
  • Immune system imbalance causing endometriosis and decreasing your fertility
  • Lesion formation (assisted by physiotherapy etc.)
  • Changes in neurotransmitter balance associated with addictions and mood disorders
  • Environmental, toxin and lifestyle inhibitors
  • Human, animal and ecosystem influences

Symptoms of endometriosis include trouble conceiving, miscarriage, severe painful periods, bleeding irregularities, digestive problems, mood changes, nerve pain, tiredness etc.

How BUMP® helps women to fall pregnant with endometriosis

BUMP® provides a 2nd opinion and assists with getting to the cause of your endo. We provide a broad range of health and medical solutions. We also include alternative therapies, such as acupuncture, aromatherapy, diet and lifestyle advice, expert pathology testing, mental health support, body work, and other therapy services. There is a great deal of research to support the human, animal and ecosystem connection with endometriosis, which is why we also provide expert advice on these influences. Ignoring these would mean you may never get to the cause of your endometriosis.

We know that endometriosis appears to affect IVF adversely, from reducing the number of eggs at the time of retrieval to poorer egg quality, and lower implantation and pregnancy rates. However, most endometriosis patients will still be able to conceive with IVF.

Endometriosis often initially presents as "unexplained infertility," a diagnosis BUMP® 2nd Opinion does not believe in. Many studies in the literature point to similar patient characteristics in women with endometriosis and women with unexplained infertility. They also present with similar immune profiles.

In most cases of the so-called "unexplained infertility," we can pinpoint a real cause of infertility by performing appropriate diagnostic tests, even though correct diagnosis of endometriosis can be difficult. Correct diagnosis, of course, is the first step toward successful fertility treatment planning.

Even more importantly, endometriosis affects fertility adversely in many different ways, though its effects on normal tubal function appear to be the most important.

Investigations attempting to explain why patients with endometriosis often suffer from infertility have suggested that:

  • Their fallopian tubes may function abnormally, due to adhesion or scarring resulting from endometriosis invading the tubes (so-called tubal infertility)
  • Ovarian function may be adversely affected when endometriosis lesions invade the ovaries, possibly resulting in diminished ovarian reserve and sub-par egg quality
  • Endometriosis may release toxic substances which may harm embryos and/or their implantation capacity
  • Patients with endometriosis may be at a higher risk for miscarriages, lowering their live birth chances

At BUMP® we offer a broad and extensive range of health, medical, environmental and lifestyle services that can assist with successful endometriosis management.

Treatment of Endometriosis

There is no permanent treatment for endometriosis. All available endometriosis treatments, whether medical or surgical, are temporary, and endometriosis will inevitably return once treatment stops. This fact is probably best documented by the fact that pregnancy is considered to be the best treatment for endometriosis. Pregnancy, of course, stops all menstrual periods, and with it, the bleeding from endometriotic lesions. It, therefore, interrupts the process of endometriosis and alleviates symptoms.

Medications do the same. However, since those drugs also interrupt the menstrual cycles, for all practical purposes, they are contraceptives: an infertility patient who wants to conceive cannot be treated with such drugs for endometriosis. These medications are helpful only in clinically symptomatic patients, where pain management is the primary goal of treatment.

In such cases, endometriosis is also frequently treated surgically. As fertility specialists, we, however, are always concerned about the surgical treatment of endometriosis: especially if surgery involves the ovaries, we often see that such surgery ends up removing the last vestiges of functioning ovarian tissue, and puts the patient into outright menopause. There is a possibility that surgical removal of small, mild endometriosis may improve spontaneous pregnancy chances, but the time window is very short, and pregnancy success is likely much higher with IVF than with surgery. BUMP®, therefore, rarely recommends surgery for endometriosis before patients have completed their families.

What Are The Infertility Treatments for Women with Endometriosis?

As explained above, physicians usually recommend IVF rather than surgery for women with endometriosis who want to get pregnant. With huge improvements in IVF pregnancy chances in the 30+ years since its inception, we no longer believe that surgery is the best option for endometriosis-induced infertility.

Treatment for endometriosis-related infertility requires a special expertise, and treatment must be individualized for each patient. For example, a patient whose endometriosis is causing infertility via malfunction of her fallopian tubes requires a completely different treatment approach from a patient whose endometriosis has invaded her ovaries and is affecting her ovarian reserve. For all women with endometriosis, however, infertility treatments should start as soon as possible, because nobody can predict how quickly the disease will progress.

The need for expertise and individualization go even further. For example, fertility treatments often involve increases in estrogen levels. Estrogen can "feed" endometriosis, and make it worse. Finding the right balance between advantages and risks of different infertility treatments, therefore, is always of utmost importance in providing fertility treatments to endometriosis.

If you are frustrated by trying to conceive with endometriosis then it's time to make a change. The BUMP® 2nd Opinion program may well be your answer to falling pregnant faster with endometriosis.


 

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