Microscopic Injection

Prof. Mahmoud Jihad

Endometriosis goes through four stages, so that each stage differs from the other based on where the endometrial implant appears, the size and number of endometrial implants, and the depth of adhesion of endometrial implants. These stages are:

The first stage

The first stage of endometriosis, or what is known as the lower stage of endometriosis, includes small lesions or wounds and the implantation of the superficial endometrium on the woman’s ovary. There may also be inflammation in or around the pelvic cavity.

The second phase

The second stage of endometriosis, or what is known as the light stage of endometriosis, has mild lesions and the superficial endometriosis is implanted on the ovaries and pelvic lining of the woman.

Third level

The third stage of endometriosis, or what is known as the moderate stage of endometriosis, in which endometriosis implants are located deep on the ovaries and pelvic lining of the woman.

The fourth stage

The fourth stage of endometriosis, or what is known as the severe stage of endometriosis, is in which the implants of the deep endometrium are located in the ovaries and pelvic lining, which can reach the fallopian tubes and intestines, and infertility is common at this stage.

Approximately 3 out of 4 women who develop endometriosis have stage I or II

Deep endometrial infiltration

Deep endometrial infiltration is the most aggressive clinical form of endometriosis, appearing during the third and fourth stages of endometriosis, as a result of the infiltration of the endometrial implant deeper into the ovary, bladder, rectum, or lateral wall of the pelvis. The severity of deep endometrial infiltration varies according to the depth of this infiltration.

Endometriosis and pregnancy

Some may wonder whether endometriosis prevents pregnancy. In fact, fertility problems, difficulty conceiving or infertility are a major complications of endometriosis. However, many women with endometriosis are able to get pregnant without difficulty, especially if  The disease was mild or moderate, within three years and without any specific treatment

Surgery to remove endometriotic tissue can help improve the chance of getting pregnant, although there is no guarantee that a woman will be able to get pregnant after surgical treatment of endometriosis, especially since surgery may cause some complications such as infections, bleeding, or damage to affected organs.

If the surgery does not improve the chance of getting pregnant, then fertility treatments or IVF can be considered to improve the chance of pregnancy and childbearing.