Endometriosis, or tissue identical to the uterine lining growing outside the uterus, is also normally accompanied by pain, inflammation, and infertility. Another question a woman is asked by her physicians is whether she should freeze eggs or embryos prior to undergoing endometriosis surgery . The response is not a one-size-fits-all but medical and individual case-dependent.
How Surgery Impacts Ovarian Function
Surgical excision of endometriotic implants, particularly those on the ovaries, has a strong chance of reviving ovarian function. By exercising these implants, physicians are able to enhance ovarian reserve and enable the ovaries to stimulate themselves naturally once more. This will improve egg quality as well as the likelihood of a natural pregnancy. For numerous women, surgery alone has the potential to eliminate a major block to conception, enabling the body to be more efficient without the use of aggressive medical treatments.
Why Wait to Freeze Eggs After Surgery?
More and more experts suggest waiting to freeze eggs or embryos until after, not before, surgery. By doing so, the body—and more particularly, the ovaries—has a chance to fully recover, usually in three to six months after surgery. Having recovered, the ovaries tend to respond better to stimulation, which can result in more good-quality eggs.
This delay also creates an emotional leave for women to heal up emotionally and medically post-surgery and then make decisions about fertility preservation. Instead of immediately proceeding to freeze eggs when under the immediate stress of surgery, women can have time to heal up and make clearer, more informed decisions.
The Emotional Aspect of Egg Freezing
Egg freezing is more than a medical treatment; it is emotionally charged. Some women enjoy it, whereas others are daunted by the process and the choices involved. It's only fair to recognize this emotional load. Clinics nowadays automatically provide counselling and fertility education to assist women in managing these emotions and make them feel supported, cared for, and in command of the experience.
An Individualized Treatment for Each Woman
In the case of women with wide or profound ovarian endometriosis, one may at times need to use more than a single stimulation cycle in order to have enough good quality eggs. Every woman will have to be handled individually with an individualized plan based on her medical status and personal goals. Post-surgery, stimulation of ovaries can be adjusted based on the post-surgery recovery and functioning of ovaries, typically yielding improved results compared to pre-surgical stimulation.
Future-Proofing Fertility
Endometriosis can recur, and some women may need future operations. Egg or embryo freezing following surgery is a proactive step towards saving fertility despite having future treatments needed. It gives women the flexibility to start a family when they are ready, without the weight of a biological clock on their head.
Cryopreservation of embryos or eggs following endometriosis surgery has countless benefits—a superior egg quality is just one of them, to less emotional distress. Each woman's case is unique, and family-building chances can only be preserved after discussing with an experienced fertility specialist. Counselling along with judicious planning is definitely possible to cure endometriosis and preserve family-building chances in the future.
(Dr Smeet Patel, Endometriosis Specialist, Mayflower Women’s Hospital, Ahmedabad)
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