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What is the best fertility treatment for endometriosis?

Iran Health Agency > blog > What is the best fertility treatment for endometriosis?
What is the best fertility treatment for endometriosis
One of our patients asked us what is the best fertility treatment for endometriosis. We think you must know all the answers related to infertility issues:  The best fertility treatment for endometriosis often depends on the severity of the condition, the woman's age, and other individual factors. Generally, In Vitro Fertilization (IVF) is considered one of the most effective treatments for women with endometriosis-related infertility. IVF can bypass many of the anatomical challenges posed by endometriosis, such as damaged fallopian tubes or distorted pelvic anatomy.

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For women with mild to moderate endometriosis, other options like controlled ovarian stimulation combined with intrauterine insemination (IUI) may also be effective. However, IVF tends to offer higher success rates, especially in cases of severe endometriosis where other methods may not yield satisfactory results.

Below, you will find out about the success rate of IVF on this issue and get the answer to this question: is this issue that bad for fertility? 

Then, it guides you with general info about the IVF protocol for women with endometriosis and the options you have for treating it in Iran an affordable cost.

How successful is IVF with endometriosis

How successful is IVF with endometriosis?

The success rates of IVF in women with endometriosis can vary significantly based on the severity of the disease. Studies indicate that pregnancy rates can reach 50% to 60% per transfer using chromosomally normal embryos. However, women with advanced-stage endometriosis may experience lower success rates due to factors such as poor ovarian reserve and reduced egg quality.

Read more: What is the most successful treatment for infertility?

How bad is infertility with endometriosis?

How bad is infertility with endometriosis

Infertility is a common issue among women with endometriosis, affecting approximately 30% to 50% of this population. The condition can lead to various complications, including pelvic adhesions and anatomical distortions that hinder natural conception. In untreated cases, fecundity rates can drop significantly, from a standard range of 15% to 20% down to as low as 2% to 10% in women with severe endometriosis.

Do I need to remove endometriosis before IVF?

Do I need to remove endometriosis before IVF

The necessity of removing endometriosis before IVF largely depends on individual circumstances. For women with severe pain or large endometriomas (cysts), surgical intervention may be recommended before IVF to alleviate symptoms and potentially improve outcomes. However, for many women with advanced-stage endometriosis, immediate IVF is often suggested without prior surgery since surgical removal does not consistently enhance reproductive outcomes.

Read more: Is IVF good for recurrent miscarriage?

Which IVF protocol is best for endometriosis?

The optimal IVF protocol for women with endometriosis may involve tailored approaches that consider the individual’s specific condition. Protocols often include:

  • Long GnRH agonist protocols: These may help suppress residual disease before stimulation.
  • Antagonist protocols: These can also be effective and are generally well-tolerated.
Protocol Description Effectiveness
Long GnRH Agonist Suppresses ovarian function and endometriosis lesions before stimulation. High for stage III-IV endometriosis
GnRH Antagonist Inhibiting follicle-stimulating hormone (FSH) to prevent premature ovulation, which is generally well-tolerated. Compares favorably with agonist protocols, providing safety and ease of use.
Progestin-primed Ovarian Stimulation (PPOS) Involves hormonal priming with progestins before ovarian stimulation.  Promising results with a focus on individual responsiveness.

A fertility specialist should guide the protocol, assess the patient’s situation, and adjust treatment accordingly.

Read more: How can you increase your chances of getting pregnant with IVF?

Where can I have affordable IVF with high success rates?

Where can I have affordable IVF with high success rates

Finding low-cost IVF choices with high success rates usually means looking into different fertility clinics in your area and comparing their success rates and prices. Many clinics give payment plans or fees that change based on your income.

In some countries, there are also public health programs that pay for fertility treatments. Talking to a reproductive endocrinologist can help you find clinics that treat people with endometriosis in a way that is both cost-effective and successful.

Read more: Is ICSI More Expensive Than IVF?

Infertility Caused by Endometriosis in Iran

In Iran, about 2.5% to 3.3% of women of childbearing age have endometriosis, which makes it hard for them to get pregnant. A meta-analysis found that about 5.4% of people in Iran who can’t have children have endometriosis as a reason. Some important things to know about endometriosis and impotence in Iran:

1. What Causes Risk

Studies have found several risk factors that are linked to Iranian women who have endometriosis not being able to have children, such as

  • Getting old

  • Infertility that lasts longer

  • A higher BMI (body mass index)

  • Periods that aren’t normal

  • A lot of menstrual blood

  • Painful intercourse is called dyspareunia.

  • Pain in the pelvis

  • A history of endometriosis in the family

Read more: Best IVF centers in Iran

2. Choices for Treatment( Your Options in Iran)

The best fertility treatments for endometriosis are affected by some factors! In Iran, the main ways to treat infertility caused by endometriosis are:

  • In intrauterine insemination (IUI), fertility drugs are used to make the ovaries make more eggs, and then the male partner’s washed sperm is put straight into the woman’s uterus.
  • In-vitro fertilization, or IVF, takes eggs from the woman, fertilizes them with her partner’s sperm in a lab, and then moves the babies back into the uterus. IVF can get around the physical problems that endometriosis causes.
  • Surgery with a laparoscope: Getting rid of endometriosis lesions with slightly invasive surgery might help some people get pregnant, but it doesn’t guarantee it.

Read more: IVF in Iran

The type of treatment chosen relies on the woman’s age, how bad her endometriosis is, and how long she has been unable to have children. Many fertility clinics in Tehran, Shiraz, and Mashhad, among other big towns in Iran, offer these treatments at lower prices than in Western countries.

To sum up, endometriosis is a major cause of infertility in Iran, and there are several apparent risk factors. Assisted reproductive technologies, such as IUI and IVF, are the mainstays of care, and surgery is often done along with them. To make a personalized treatment plan, you should talk to a fertility expert.

IVF Success Rates in Iran

IVF Success Rates in Iran

  • For women under 35, IVF has a success rate of about 40% in Iran
  • Success rates are higher than the global average and comparable to the world’s best fertility clinics
  • Success rates vary based on factors like maternal age, quality of eggs/sperm, and embryo quality

Read more: IVF success rate in Iran

Cost of IVF in Iran:

The cost of an entire IVF cycle in Iran ranges from $2,500 to $5,000, inclusive of medications and all related expenses.

  • This is significantly lower than the $10,000 to $30,000 cost in the US
  • Factors affecting cost include clinic location, doctor experience, and number of cycles needed

Quickly view the blog’s answer to the question. What is the best fertility treatment for endometriosis?  In conclusion, IVF is one of the best ways to treat infertility caused by endometriosis (don’t forget to consult with your doctors). 

Read more: Cost of IVF treatment in Iran

Still, each woman’s wants and situation must be carefully considered to find the best action. Contact IranHealthAgency (a medical tourism company) to book a free consultation with the best doctor and clinic to find your best action.  You can talk with us via linked below: 

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