Should I Worry About Miscarriage Because of Endometriosis?

Infertility is a main complication of endometriosis but does the disease increase the risk of miscarriage?

What is a miscarriage?

A miscarriage is the sudden loss of pregnancy before 20 weeks of gestation, usually in the first 13 weeks.

Miscarriage can occur due to genetic abnormalities, hormonal imbalance, infection, drug abuse, obesity, and uterine conditions such as endometriosis, structural anomalies, or a weak cervix.

The loss of two or more pregnancies is termed recurrent pregnancy loss.

Is miscarriage common among women with endometriosis?

Research has shown that patients with endometriosis have an increased incidence rate ratio for miscarriages.

A 2023 Danish study found that endometriosis was not only associated with difficulty in getting pregnant and the risk of miscarriage but that the likelihood of a pregnancy loss increased with each subsequent conception.

How does endometriosis increase the risk of miscarriage?

The exact mechanisms by which endometriosis increases the risk of miscarriage are not clear. However, we know that endometriosis can affect egg quality and adversely affect the lining of the uterus where implantation occurs.

Other factors that can lead to miscarriage due to endometriosis include changes in the anatomy of the uterus and inflammation in the uterine cavity.

What can I do to reduce the risk of miscarriage?

It is important to understand that having endometriosis does not mean you cannot have a baby.

Pregnancy in a person with endometriosis should be no different than in a person without it in terms of pain, Dr. Seckin says. Some women have more pain in the early months, but generally, pain improves. However, it may return when periods reappear.

If you have been experiencing recurrent pregnancy loss, unexplained infertility due to silent endometriosis may be the reason. Diagnostic tests such as BCL-6 and imaging tests evaluated in the proper context can facilitate the diagnosis of silent endometriosis.

Once endometriosis is established as the cause, laparoscopic deep excision surgery is the gold standard for complete lesion removal. Dr. Seckin uses his Aqua Blue Contrast (ABC)^TM technique coupled with cold excision to remove all lesions and restore anatomical structure and function to increase the chances of a healthy pregnancy.

Have you been experiencing miscarriages? Please do not hesitate to share your story with others by leaving a comment on our post on Facebook or Instagram if you wish.