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Fertility Preservation in Endometriosis

All About Endometriosis | Shree IVF Clinic - Dr. Jay Mehta

In modern endometriosis care, particularly when surgery is being considered, it is important to recognize that many patients are young women in their reproductive years. Because of this, preserving fertility becomes a key part of surgical planning and decision-making.

Every effort should be made to effectively treat the disease while protecting ovarian reserve, reproductive potential, and future pregnancy goals whenever possible.

How to preserve fertility with endometriosis?

As an endometriosis expert performing these surgeries across the country of India, we have noticed and realized that fertility preservation is in demand and there is extremely good awareness of the same across the nation. As a result of this, we usually like to undergo a detailed one-on-one session with the patient to help her choose and guide her family as to what may be the best option for her to preserve her fertility.

Endometriosis is one of the leading causes of infertility, and it is also associated with low AMH in many cases. As a result of this, if the patient is already married and has a low AMH and is planning for future conception options, alcohol injections inside the endometriotic cyst are given to the patient.ย 

One must note and understand that this procedure does not give a permanent cure for endometriosis. The procedure for fertility would usually begin within 6 to 8 weeks of alcohol injection. Patients should understand and realize that though there is an option of injecting alcohol transvaginally, the laparoscopic method remains the procedure of choice, as it allows for freeing up a lot of adhesions, thereby improving the quality of the oocytes.

Simply performing drainage of an endometriotic cyst and not clearing the rest of the disease is often done by experienced surgeons who, for the fear of losing the patient, do not end up referring to the specialists.ย 

Whenever there is an indication, meticulous surgery should be performed to clear up all the patches of deep endometriosis, and simultaneously, the surgery should encompass a meticulous dissection to prevent the maximum amount of ovarian tissue.

Usually, this is going to be achieved only by doctors who specialize in surgery for endometriosis, because this involves a lot of fine points of dissection as well as an understanding of the anatomy.ย 

Book Your Consultation Today With an Endometriosis Specialist in India - Dr Jay Mehta

Ways to preserve your fertility

After the surgery is finished, it is confirmed that the surgery is complete. The patient is then referred either for cryopreservation of oocytes or for embryos if the patient is already married.ย 

During the time of the surgery, at advanced units like ours, we also give the option to the patient to undergo ovarian tissue banking. This is a system of slow freezing, and itโ€™s an expensive procedure at the moment in India.ย 

As a result of this, many girls opt to do Egg Banking instead, which is a simple and safe procedure and can be done to bank up to 12-16 oocytes. These oocytes, which are banked, can be used later as a backup once the marriage and family are planned by these girls.ย 

Egg banking is a relatively inexpensive procedure compared to ovarian tissue banking. Both procedures are performed by our team as a referral unit for both fertility as well as endometriosis; this is an advantage to the patient to carry out both procedures in the same setting.

Dr. Jay Mehta Fertility and IVF Specialist In Mumbai

Dr. Jay Mehta

MBBS, DNB โ€“ Obstetrics & Gynecology
IVF & Endometriosis Specialist, Laparoscopic Surgeon (Obs & Gyn)

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Dr. Jay Mehta is a highly renowned IVF specialist and fertility-preserving surgeon based in Mumbai, India. As the director of the Shree IVF and Endometriosis Clinic in Mumbai, he is recognized as one of India's leading laparoscopic gynecologists for advanced treatment of complex conditions such as endometriosis and adenomyosis.

Dr. Mehta and his team have extensive expertise, performing more than 2500 endometriosis casesย across India every year at multiple locations. Under his leadership, the Shree IVF and Endometriosis Clinic has consequently become the highest-volume endometriosis and adenomyosis treatment unit in India. Dr. Mehta conducts operations and consultations across India's major cities, including Pune, Chennai, Hyderabad, Bangalore, Ahmedabad, Agra, and Delhi. To book an appointment, call: 1800-268-4000

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