Dr. Thaïs Aliabadi
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And that's exactly what happens with endo patients because they go dismissed.
They show up at age 30, they have no eggs, their tubes are scarred.
And to answer your question, a lot of these patients, because of that inflammation, the environment is hostile.
So the reason it's one of the top causes of infertility, yes, your tubes can get blocked.
Yes, your egg count and quality can drop, but the environment is so hostile for the sperm,
For that little egg that's getting released that needs to be picked up by the tube that can get attacked by these inflammatory cells, the embryo sometimes doesn't form.
If it forms, it might get stuck in the tube and you might end up with an ectopic pregnancy.
Or if it goes into the uterus, all that inflammation increases the risk of miscarriage.
And on top of that...
A large percentage of endometriosis patients have adenomyosis, which is the sister condition to endometriosis, which is very common.
Not all adenomyosis patients have endometriosis, but a lot of endometriosis patients have adenomyosis.
And adenomyosis is when these ectopic tissue, the lining inside the uterus, are in the wall of the uterus.
So they do get stimulated.
And they can cause heavy periods.
They can cause recurrent miscarriages.
They can cause painful periods.
And it also gets dismissed on ultrasound.
A lot of doctors depend on MRIs to diagnose adenomyosis, where if you've done enough ultrasounds, you can start seeing it on a pelvic ultrasound.
But the problem is a lot of radiologists don't know how to diagnose it.