Can infertility caused by endometriosis be cured?

Written by Zhang Chun Yun
Obstetrics and Gynecology
Updated on March 02, 2025
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When endometrial glandular and stromal tissues are found outside the uterine cavity, it is called endometriosis. The main clinical symptoms of endometriosis include lower abdominal pain, painful menstruation, and varying degrees of discomfort during sexual intercourse. Some women may also experience abnormal menstruation, such as prolonged menstrual periods, increased menstrual flow, and spotting before menstruation. For women of childbearing age, infertility is the greatest obstacle. Endometriosis should be treated under medical advice, with standardized and correct treatments, which can include surgery or medication. However, medication does not significantly help in improving pregnancy rates for infertile women, while surgical treatment can increase the pregnancy rate post-operation. The effectiveness of the treatment depends on the extent of the disease. For those hoping to conceive, postoperative medication is not advisable; instead, treatments that stimulate ovulation should be pursued to increase the chances of pregnancy as soon as possible. If pregnancy is not achieved within two years after surgery, the chances of conceiving are slim. For those who still cannot conceive after preserving fertility through surgery, assisted reproductive technologies like in vitro fertilization and embryo transfer may be considered. It is important to follow your doctor's advice, and if you have further questions, it is recommended to consult a doctor at a hospital for more detailed advice.

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Written by Shen Li Wen
Obstetrics and Gynecology
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What are the symptoms of infertility?

There are many causes of infertility, so depending on different reasons, the clinical manifestations also vary. For instance, some women suffer from infertility due to abnormal ovulation, which could manifest as abnormalities in the menstrual cycle such as prolonged absence of menstruation, like in polycystic ovary syndrome, or irregular vaginal bleeding. Some women have uterine factors that cause infertility, such as common post-multiple intrauterine operations leading to intrauterine adhesions, where a woman might experience reduced menstrual flow or even amenorrhea, accompanied by painful menstruation. Additionally, infertility in some women might be due to cervical factors, possibly presenting with thick vaginal discharge, contact bleeding, or blood-tinged discharge. Partially, some women might have ovarian endometriomas, which can cause severe painful menstruation and increased menstrual volume, among other symptoms.

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Written by Li Shun Hua
Obstetrics and Gynecology
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Can uterine bleeding cause infertility?

Uterine bleeding can be normal or abnormal. Normal uterine bleeding refers to menstruation, which does not lead to infertility. Lack of uterine bleeding may indicate abnormal endocrine function, which could potentially cause infertility. However, if uterine bleeding occurs at times other than menstruation, it is considered abnormal uterine bleeding. There are various causes for abnormal uterine bleeding, and it can affect pregnancy. The most common reason for abnormal uterine bleeding is hormonal imbalance, which leads to irregular ovulation and may result in infertility.

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Written by Kang Jian Hua
Reproductive Center
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What should infertile women check for?

The examination of infertile women mainly includes the following aspects. First is the physical examination, which covers a general examination and an examination of the internal and external genitalia. Through the physical examination, it can be determined whether the female sexual characteristics are normal and whether there are any abnormalities in the development of the external genitalia. The second type of examination is auxiliary examination, the most common of which are blood tests and ultrasound exams. Blood tests can provide information on whether there is any infection, the type of blood, and the endocrine situation. They can also examine chromosomal conditions. Through ultrasound, it is possible to find out if there are any abnormalities in the uterine adnexa. Additionally, there are some special tests, including ovarian function tests, fallopian tube patency tests, hysteroscopy, laparoscopy, and post-coital tests, among others.

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Written by Shen Li Wen
Obstetrics and Gynecology
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Secondary infertility is how it comes about?

Secondary infertility is when a woman has been pregnant before but has not conceived after a year of not using contraception. The causes of secondary infertility are divided into male factors and female factors. Common male infertility factors include older age or habitual smoking and drinking, leading to decreased sperm quality. Female infertility factors are more numerous, such as excessive sexual activity during reproductive years or weak immune system leading to pelvic inflammatory disease. This inflammation can affect the fallopian tubes, causing blockages and resulting in infertility due to tubal factors; it can also spread to the endometrium, causing endometritis and altering the intrauterine environment, making conception difficult. Some women may suffer from endometriosis, which can also lead to infertility. In some cases, women who have had uterine procedures may experience adhesions in the cervical canal and uterine cavity or abnormal uterine shapes, leading to infertility. Additionally, some women experience significant blood loss after childbirth, leading to pituitary necrosis, hormonal imbalances, and ovulation disorders, which can affect normal conception.

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Written by Zhang Wei Wei
Integrative Medicine
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Which department should I go to for infertility treatment?

For infertility issues, one should first visit a formal hospital. At the hospital, men can choose to see either a traditional Chinese medicine andrologist or a Western medicine andrologist, while women can opt to visit a traditional Chinese medicine infertility specialist, or a gynecology or obstetrics department. After consulting these departments, doctors will conduct various tests to identify and rule out causes of infertility. Then, based on the test results, they will administer targeted treatments or interventions. This approach helps infertility patients to conceive as soon as possible.