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What is Endometriosis? How Does it Impact Pregnancy?

Endometriosis is more than just a medical term—it represents a reality for many women. It’s a condition often discussed yet remains shrouded in misconceptions. Let’s shed some light on this condition that impacts countless lives.

What is Endometriosis?

The uterus, a central organ in the female reproductive system, has a unique lining known as the endometrium. Month after month, this lining prepares itself, optimistically awaiting the possibility of a new life. If pregnancy doesn’t occur, this lining exits the body, leading to the monthly event familiar to all women: menstruation.

However, not all women’s experiences with this process are straightforward. Some women encounter a situation where the endometrial tissue, rather than confining itself to the uterus, ventures outside.

Predominantly finding its way to the pelvic cavity, this tissue doesn’t realize it’s in the wrong place and continues to act as if it’s inside the uterus.

This means it thickens, prepares for pregnancy, and when that doesn’t happen, it breaks down. But there’s a significant hitch—the blood and tissue from this breakdown have nowhere to go. This trapped tissue can cause discomfort, inflammation, and often significant pain, particularly during menstrual cycles.

Moreover, this trapped tissue can lead to scar tissue formation and adhesions, making it a significant contributor to fertility issues in many women.

Estrogen, a primary female hormone, plays a pivotal role in this narrative. It appears to promote the growth of endometriosis, making the condition more pronounced and sometimes more painful. Recognizing the influence of estrogen underscores the urgency of early detection and proactive management.

The Emotional and Psychological Dimension

Beyond the physical manifestations, endometriosis carries an emotional and psychological weight. The persistent pain and discomfort, combined with fertility challenges, can impact a woman’s mental well-being. 

Feelings of frustration, sadness, or inadequacy might surface. It’s essential to understand that these feelings are valid and a natural response to ongoing physical and emotional stress. 

This makes seeking a support system—whether it’s medical professionals, therapists, support groups, or loved ones—an integral aspect of managing endometriosis.

Not only does this holistic approach address the physical symptoms, but it also tends to the emotional scars that often accompany them.

When Does Endometriosis Commonly Strike?

Endometriosis primarily reveals itself during the years when a woman is most fertile. This phase typically spans from the first menstrual cycle and stretches right up to the brink of menopause. However, the relationship between endometriosis and a woman’s age is not so linear.

While the symptoms might wane as women approach menopause, endometriosis doesn’t just pack up and leave overnight. The reason? The hormones.

As women age, hormonal dynamics shift, especially when they transition into menopause. With this transition, the production of estrogen, a hormone central to endometriosis, decreases. 

This reduced estrogen can often translate to milder symptoms or sometimes, a welcome cessation of symptoms altogether.

Additionally, another phase in a woman’s life where she might experience relief is pregnancy. This period of respite, for some, can be attributed to the surge of progesterone, another hormone that takes center stage during pregnancy.

Elevated levels of progesterone seem to counteract the effects of estrogen, potentially stunting the growth and activity of endometrial tissue outside the uterus.

Digging into the Genetics of Endometriosis

The idiom, “like mother, like daughter,” finds relevance in many aspects of life, including certain health conditions. Endometriosis is one such condition where genetic ties are evident.

It’s not uncommon for endometriosis to be a shared experience among family members. If your mother, sister, or even your aunt has been diagnosed with endometriosis, it might be more than just a coincidence.

Research has found a robust genetic component, indicating that endometriosis can, indeed, be passed down through generations.

While not everyone with a family history will develop endometriosis, knowing that there’s a genetic predisposition makes regular check-ups and screenings crucial. Being forewarned, in this case, allows women to be forearmed. 

Understanding one’s family health history and discussing it with a healthcare provider can set the stage for early detection, more effective interventions, and a proactive approach to managing the condition.


Endometriosis is an integral topic in women’s health. While its presence can be daunting, arming oneself with knowledge can pave the way for informed choices, better care, and, ultimately, improved quality of life.

It reminds us of the interconnectedness of health, family, and awareness. Together, we can navigate the challenges it presents and champion well-being.

If you still have some doubts, we are always here to help. Our Endometriosis expert in Pune  will guide you and help you understand every aspect of Endometriosis. So feel free to reach out.

  • About Author

    Dr. Supriya Puranik

    Gynaecologist & IVF Specialist

Often known as the last glimmer of hope for people who have lost all hope for conceiving a child, Dr. Supriya Puranik is a leading gynaecologist, high risk obstetrician and Head of IVF & Gynaecology department at Ankura Hospital for Women & Children.

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