LYCOS RETRIEVER 
Endometriosis: Infertility
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Endometriosis is a troubling disease that affects millions of women worldwide. It is responsible for hundreds of thousands of missed work hours, pain ranging from mild to crippling, and, for some women, infertility.
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Endometriosis is a painful condition that can lead to infertility. There is no cure except a total hysterectomy, but hormones can help considerably with the pain and to prevent it from getting worse.
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Endometriosis ... is related to hormonal imbalances such as estrogen dominance. Estrogen feeds endometriosis; it is therefore important to help the body clear itself of excess estrogen. Since the liver metabolizes estrogen, using methods that resolve Liver Qi stagnation will assist the body in clearing excess amounts of the hormone. To resolve Liver Qi stagnation, you can stimulate the acupuncture points Lv 2, Lv 3, and Lv 14 (See "The Infertility Cure" by Dr. Randine Lewis for further instructions.)
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Endometriosis is often removed surgically by laparoscopy, especially in infertility patients. If a laparoscopy is performed, it is very important that all endometriosis be removed as some authorities believe that small amounts can create an inflammatory environment in the pelvis. Many specialists prefer to move into aggressive infertility treatment such as ovarian stimulation with IUI or IVF rather than proceed to surgery. IVF success rates in patients with endometriosis are excellent.
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Endometriosis is more common in childless women over the age of 30. It is now believed that endometriosis is sensitive to oestrogen; therefore, women who have had more cycles, without a break for pregnancy, will have had more exposure to the female hormones. Today, with more and more women putting off having children until their later years, the incidence of endometriosis-linked infertility is increasing.
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Endometriosis is strongly associated with infertility. In women with advanced stages of endometriosis, grossly distorted pelvic anatomy or tubal occlusion offers a logical explanation, but in women with milder disease, any mechanisms that may be responsible are less obvious. Indeed, whether minimal and mild degrees of disease can be regarded as a cause of infertility remains highly controversial. The infertility associated with endometriosis has been attributed to three primary mechanisms: distorted adnexal anatomy that inhibits or prevents ovum capture after ovulation, interference with oocyte development or early embryogenesis, and reduced endometrial receptivity.
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