Infertility/Fertility/Clomid and endometriosis and cysts.
Can I take clomid even though I have endometriosis and previously had cysts?
About a year and a half ago I started experiencing cysts so I stopped taking bc pills which got rid of them. Now me and my husband are trying to get pregnant and we recently found out that I had endometriosis. The surgeon found it only on my left side and he said it wasn't very much and burned what he could see off. How bad does this sound and what are my chances of being able to have a baby with clomid?
Hello Brittany from the U.S. (Arkansas),
Endometriosis is usually given a "stage" from 1-4. Stage 1 is minimal, Stage 2 is mild, Stage 3 is moderate and Stage 4 is severe. There is a scoring method that is used to determine the stage. Stage 1 and 2 have not been clearly associated with infertility, although I believe that they can impair pregnancy, based on my years of experience. These are treated by fulguration (burning) or excising the lesion. Stage 3 and 4 have been clearly associated with infertility. Some can be treated by removing surgically followed by 3-6 months of medication, but ultimately, most of these will need to go to IVF. So, since your endometriosis "wasn't very bad", my assumption is that it was stage 1 or 2 so you should have a good chance of getting pregnant, but you should know that the window of opportunity is only about 6 months from the surgery, because after that, the endometriosis can return and could impair pregnancy.
Clomid is just a drug used to enhance ovulation in women that ovulate, so that they can produce more than one egg per month and thereby increase their chances of pregnancy per month; or to get the ovary to ovulate if the woman is not ovulating. This is only the 1st two steps in the reproductive process so that other 8 steps have to occur on its own (naturally).
Dr. Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program
Monterey, California, U.S.A.
for additional information check out my blog at http://womenshealthandfertility.blogspot.com
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