Q Does endometriosis make it hard to get pregnant?
A It is strongly linked to infertility, but not every patient is infertile. Mild cases can conceive naturally, and for severe cases, surgery before IVF can improve the chances of pregnancy.
Detailed Answer
Infertility accompanies endometriosis in 30-50% of patients. This is because endometrial lesions can block the fallopian tubes or reduce ovarian function, and pelvic inflammation interferes with sperm and egg function. Mild cases (stage 1-2) may attempt pregnancy with ovulation induction plus intrauterine insemination, while severe cases (stage 3-4) are usually advised to undergo IVF after laparoscopic surgery.
Korean Medicine Clinic Perspective
At Dongjedang, during the pregnancy-preparation phase we use uterus-warming prescriptions and deep thermal therapy (large-cone moxibustion) to improve uterine and ovarian blood flow and create a favorable environment for implantation. Some studies suggest acupuncture during an IVF cycle may modestly raise implantation rates, so we coordinate care with the obstetrics and gynecology schedule.
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