Endometriosis may be linked to a reduction in live births before diagnosis of the condition, research suggests
. According to the study, the disease is associated with a reduction in fertility in the years before a definitive surgical diagnosis.
In women who have endometriosis, tissue from the lining of the womb grows in other places, such as the ovarian and fallopian tubes. Symptoms include painful menstruation, pain in the pelvic area, difficult or painful sex and difficulty getting pregnant. Correct diagnosis is often delayed by around seven years, and surgery has traditionally been the gold standard for diagnosing the condition and classifying the type of endometriosis, researchers say.
Prof Heikinheimo said: “Given the chronic nature and typical long delay in diagnosis of endometriosis, we wanted to find out if there were differences in first birth rates before diagnosis in a large group of women in the population.” A total of 7,363 women with endometriosis and 23,718 women without it delivered a live born baby during the follow-up period. When analysed according to women’s birth decade from the 1940s to 1970s, the birth rate decreased in both groups of women, the study found.
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