{"id":11628,"date":"2021-02-12T21:23:12","date_gmt":"2021-02-13T03:23:12","guid":{"rendered":"https:\/\/naturalwomanhood.org\/?p=11628"},"modified":"2024-05-20T14:00:38","modified_gmt":"2024-05-20T19:00:38","slug":"risque-de-fausse-couche-due-a-lendometriose-et-espoir-de-guerison","status":"publish","type":"post","link":"https:\/\/naturalwomanhood.org\/fr\/endometriosis-miscarriage-risk-and-hope-for-healing\/","title":{"rendered":"Endom\u00e9triose, risque de fausse couche et espoir de gu\u00e9rison"},"content":{"rendered":"\n<p>Last September, Chrissy Teigen shared the&nbsp;heart-breaking&nbsp;news of the loss of her son, Jack.&nbsp;In an Instagram post, she attempted to verbalize the indescribable pain that&nbsp;many women have experienced&nbsp;from the loss of their babies during pregnancy.&nbsp;&nbsp;<\/p>\n\n\n\n<p>Teigen\u2019s&nbsp;pain was further&nbsp;expressed in a tweet last week&nbsp;when she&nbsp;opened up&nbsp;about her scheduled surgery for endometriosis the week that Jack was supposed to be born.&nbsp;While it is unknown&nbsp;whether&nbsp;Chrissy\u2019s&nbsp;loss&nbsp;was related to her endometriosis, she has allowed for open dialogue&nbsp;within the media&nbsp;about the&nbsp;relationship&nbsp;between endometriosis&nbsp;and&nbsp;miscarriage, stillbirth,&nbsp;and&nbsp;other pregnancy complications.&nbsp;&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-what-is-endometriosis-and-what-are-its-symptoms-nbsp\"><span id=\"what-is-endometriosis-and-what-are-its-symptoms\">What is endometriosis, and what are its symptoms?&nbsp;<\/span><\/h2>\n\n\n\n<p><a href=\"https:\/\/naturalwomanhood.org\/topic\/cycle-dysfunctions\/endometriosis\/\" target=\"_blank\" rel=\"noreferrer noopener\">Endometriosis<\/a>&nbsp;is a disease in which tissue&nbsp;that is&nbsp;similar to&nbsp;the lining of the uterus grows in areas outside of the uterus. This&nbsp;abnormal&nbsp;tissue growth can lead to cysts, scar tissue\/adhesions, and inflammation within the body.&nbsp;While this disease has been known to&nbsp;occasionally&nbsp;show no&nbsp;symptoms at all, a common symptom&nbsp;of endometriosis&nbsp;is pain throughout the menstrual cycle.&nbsp;This pain&nbsp;is&nbsp;commonly reported&nbsp;&nbsp;during menses&nbsp;(periods), ovulation,&nbsp;sex,&nbsp;or&nbsp;bowel movements.&nbsp;However,&nbsp;despite the fact that&nbsp;1 in 10 women are known to have this devastating disease, treatment options are limited.&nbsp;Many&nbsp;girls and women presenting with symptoms of endometriosis are given&nbsp;hormonal birth control to override their&nbsp;cycles and&nbsp;mask their symptoms.&nbsp;&nbsp;<\/p>\n\n\n\n<p>Unfortunately,&nbsp;although&nbsp;some&nbsp;endometriosis&nbsp;symptoms may&nbsp;lessen&nbsp;on birth control,&nbsp;there is no guarantee that the&nbsp;disease&nbsp;isn\u2019t&nbsp;still&nbsp;growing and manifesting&nbsp;itself in the body.&nbsp;In an article&nbsp;for the Endometriosis Foundation of America&nbsp;on the different forms of birth control often prescribed to women with endometriosis,&nbsp;Dr. Robert N. Taylor, M.D., Ph.D., professor of Reproductive Endocrinology and Infertility at the University of Utah Health&nbsp;says,&nbsp;&#8220;We don\u2019t have evidence to prove we\u2019re actually protecting their fertility, but theoretically, we like to think&nbsp;[birth control pills]&nbsp;could stop endometriosis from growing.\u201d&nbsp;Dr. Taylor&nbsp;points to decreased menstrual bleeding as evidence that birth control is prohibiting endometrial lesions from&nbsp;growing and&nbsp;bleeding.&nbsp;<\/p>\n\n\n\n<p>Troublingly, a&nbsp;2011&nbsp;study&nbsp;from the journal&nbsp;<em>Human Reproduction&nbsp;<\/em>found&nbsp;that \u201ca history of&nbsp;OC&nbsp;[oral contraceptive]&nbsp;use for severe primary dysmenorrhea is associated with surgical diagnosis of endometriosis, especially DIE [deep infiltrating endometriosis], later in life.\u201d While the authors point out that \u201cthis does not necessarily mean that use of OC increases the risk of developing endometriosis,\u201d they do suggest further studies to examine the relationship between the use of&nbsp;birth control, and the development of endometriosis&nbsp;[1].&nbsp;&nbsp;&nbsp;<\/p>\n\n\n\n<p>Whether birth control promotes or inhibits the growth of endometrial lesions, the&nbsp;synthetic&nbsp;hormones&nbsp;found in birth control&nbsp;frequently&nbsp;cause&nbsp;<a href=\"https:\/\/naturalwomanhood.org\/topic\/birth-control-side-effects\/\" target=\"_blank\" rel=\"noreferrer noopener\">side effects<\/a>&nbsp;that may be&nbsp;debilitating in their own right.&nbsp;Because of this tendency to&nbsp;prescribe birth control instead&nbsp;of finding&nbsp;and treating&nbsp;the root cause&nbsp;of menstrual&nbsp;pain, it takes an average of 8-10 years&nbsp;from the onset of symptoms for women with endometriosis to receive a diagnosis.&nbsp;&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-the-possible-connection-between-endometriosis-and-miscarriage-nbsp\"><span id=\"the-possible-connection-between-endometriosis-and-miscarriage\">The possible connection between endometriosis and miscarriage&nbsp;<\/span><\/h2>\n\n\n\n<p>It is becoming more well-known that&nbsp;endometriosis is one of the leading causes of&nbsp;<a href=\"https:\/\/naturalwomanhood.org\/topic\/infertility\/\" target=\"_blank\" rel=\"noreferrer noopener\">infertility<\/a>. In fact,&nbsp;it&nbsp;is estimated that up to 50% of women&nbsp;with infertility will have endometriosis&nbsp;discovered at the time of surgery (although this does not necessarily mean that endometriosis is the cause of infertility in those cases)&nbsp;[2].&nbsp;&nbsp;However,&nbsp;what is less&nbsp;discussed is&nbsp;the additional&nbsp;difficulty women with endometriosis face&nbsp;with sustaining&nbsp;a pregnancy once&nbsp;they\u2019ve&nbsp;conceived.&nbsp;<a href=\"https:\/\/www.acog.org\/womens-health\/faqs\/early-pregnancy-loss?utm_source=redirect&amp;utm_medium=web&amp;utm_campaign=otn\" target=\"_blank\" rel=\"noreferrer noopener\">The American College of Obstetricians and Gynecologists (ACOG)<\/a>&nbsp;defines&nbsp;miscarriage as the loss of&nbsp;pregnancy during the first trimester, or first&nbsp;13 weeks&nbsp;of pregnancy.&nbsp;Several studies have shown that women with endometriosis are at a significantly higher risk of having&nbsp;a&nbsp;<a href=\"https:\/\/naturalwomanhood.org\/topic\/infertility\/miscarriage\/\" target=\"_blank\" rel=\"noreferrer noopener\">miscarriage<\/a>&nbsp;compared to those without endometriosis&nbsp;[3-7].&nbsp;One&nbsp;study&nbsp;claims that women&nbsp;with endometriosis are 80% more likely to have a miscarriage compared to those without endometriosis&nbsp;[5].&nbsp;&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-fertility-awareness-nbsp-can-help-diagnose-endometriosis-nbsp-faster-nbsp\"><span id=\"fertility-awareness-can-help-diagnose-endometriosis-faster\">Fertility awareness&nbsp;can help diagnose endometriosis&nbsp;faster&nbsp;<\/span><\/h2>\n\n\n\n<p>While&nbsp;these statistics are&nbsp;quite unsettling, there is&nbsp;still&nbsp;hope for women who are suffering with endometriosis and&nbsp;want to get pregnant&nbsp;someday.&nbsp;As previously mentioned, many of the symptoms of endometriosis&nbsp;occur during particular phases&nbsp;of&nbsp;the menstrual cycle. Because of this,&nbsp;a woman who&nbsp;charts her cycle with a&nbsp;Fertility Awareness Method&nbsp;(FAM) is at a significant advantage when it comes to recognizing the correlation between certain symptoms and&nbsp;the phases of&nbsp;her cycle.&nbsp;This recognition could contribute to closing the gap of time between onset of&nbsp;endometriosis symptoms and diagnosis&nbsp;and treatment&nbsp;of the disease.&nbsp;&nbsp;<\/p>\n\n\n\n<p>Taking&nbsp;hormonal birth control, on the other hand, creates&nbsp;the illusion of regular cycles and reduced pain,&nbsp;eliminating the urgency of getting a true diagnosis\u2014and&nbsp;all&nbsp;the&nbsp;while,&nbsp;the disease continues to&nbsp;ravage a woman\u2019s reproductive system.&nbsp;&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-how-to-get-and-stay-pregnant-with-endometriosis-nbsp\"><span id=\"how-to-get-and-stay-pregnant-with-endometriosis\">How to get (and stay) pregnant with endometriosis&nbsp;<\/span><\/h2>\n\n\n\n<p>Another advantage of FAM&nbsp;is that there&nbsp;is a growing number of&nbsp;<a href=\"https:\/\/naturalwomanhood.org\/find-a-doctor\/\" target=\"_blank\" rel=\"noreferrer noopener\">doctors<\/a>&nbsp;who are using women\u2019s&nbsp;fertility&nbsp;charts&nbsp;to inform their&nbsp;patients\u2019 treatment options. For example,&nbsp;the natural hormone&nbsp;<a href=\"https:\/\/naturalwomanhood.org\/progesterone-supplementation-helps-prevent-miscarriage-good-news-for-moms-and-babies-2020\/\" target=\"_blank\" rel=\"noreferrer noopener\">progesterone<\/a>&nbsp;plays a significant role in&nbsp;the menstrual cycle, and in&nbsp;supporting a pregnancy&nbsp;and preventing a miscarriage. Doctors who&nbsp;practice&nbsp;restorative reproductive medicine (RRM) can use your charts&nbsp;to test for&nbsp;the&nbsp;levels&nbsp;of various hormones&nbsp;during different&nbsp;phases&nbsp;of your menstrual cycle.&nbsp;Often,&nbsp;women suffering from menstrual difficulties are found&nbsp;to be deficient in progesterone, especially during the second half of their cycles.&nbsp;Using&nbsp;all of&nbsp;this information,&nbsp;doctors trained in RRM&nbsp;can craft&nbsp;a treatment plan&nbsp;&nbsp;that supports the needs of your body.&nbsp;This is just one way that Fertility Awareness Methods, together with RRM,&nbsp;can&nbsp;<a href=\"https:\/\/naturalwomanhood.org\/how-fertility-awareness-reduces-risk-of-miscarriage\/\" target=\"_blank\" rel=\"noreferrer noopener\">reduce the risk of miscarriage<\/a> (although there is no evidence yet that supplemental progesterone helps prevent miscarriage specifically in the context of endometriosis).&nbsp;<\/p>\n\n\n\n<p>While there is no cure for endometriosis, the current standard of treatment is&nbsp;laparoscopic&nbsp;excision surgery. Performed by&nbsp;a highly trained gynecologist who will remove the&nbsp;disease&nbsp;<a href=\"https:\/\/centerforendo.com\/lapex-laparoscopic-excision-of-endometriosis\" target=\"_blank\" rel=\"noreferrer noopener\">in&nbsp;all&nbsp;of&nbsp;its forms<\/a>, this procedure leads to&nbsp;a significantly reduced risk of&nbsp;disease&nbsp;recurrence and an increased likelihood of reduced&nbsp;symptoms&nbsp;[8].&nbsp;This also creates an environment in the body which will better support a future pregnancy.&nbsp;Doctors trained to&nbsp;identify&nbsp;endometriosis&nbsp;and remove the disease via excision (versus superficial treatment like ablation) are uniquely trained&nbsp;to prevent&nbsp;scar tissue&nbsp;from forming after the procedure\u2014scar tissue&nbsp;that could be equally detrimental to a woman\u2019s fertility.&nbsp;<\/p>\n\n\n\n<p>By charting their&nbsp;menstrual cycles, girls and women&nbsp;can&nbsp;have a&nbsp;fuller picture of their health and fertility.&nbsp;Encouraging&nbsp;girls to begin charting with their first&nbsp;period&nbsp;will&nbsp;equip&nbsp;them&nbsp;with&nbsp;the&nbsp;tools&nbsp;they need to advocate for their health&nbsp;should any&nbsp;reproductive issues or&nbsp;abnormalities arise throughout their lives.&nbsp;Early detection of symptoms could contribute to earlier diagnosis and treatment of endometriosis before it creates havoc on the body.&nbsp;&nbsp;<\/p>\n\n\n\n<p>Early&nbsp;diagnosis&nbsp;and treatment&nbsp;are key to decreasing the number of women suffering from endometriosis who&nbsp;may then&nbsp;experience the added devastation of&nbsp;miscarriage or stillbirth.&nbsp;Fertility awareness methods are an important part of a holistic view of woman&#8217;s health\u2014one that sees fertility as a &#8220;fifth vital sign,&#8221; and supports a woman across the full spectrum of her fertility. <\/p>\n\n\n\n<p><strong><em>Learn more about Fertility Awareness Methods&nbsp;<a href=\"https:\/\/naturalwomanhood.org\/topic\/fertility-awareness-methods\/what-is-fam\/\" target=\"_blank\" rel=\"noreferrer noopener\">here.<\/a>&nbsp;<\/em><\/strong><\/p>\n\n\n\n<p><em>References<\/em><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Chapron, C., Souza, C., Borghese, B., Lafay-Pillet, M. C., Santulli, P.,\u00a0Bijaoui, G., Goffinet, F., &amp; de Ziegler, D. (2011). Oral contraceptives and endometriosis: the past use of oral contraceptives for treating severe primary dysmenorrhea is associated with endometriosis, especially deep infiltrating endometriosis.\u00a0<em>Human reproduction (Oxford, England)<\/em>,\u00a0<em>26<\/em>(8), 2028\u20132035.\u00a0<a href=\"https:\/\/doi.org\/10.1093\/humrep\/der156\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/doi.org\/10.1093\/humrep\/der156<\/a>\u00a0<\/li>\n\n\n\n<li>Holoch, K. and Lessey, B. (2010). Endometriosis and Infertility.\u00a0<em>Clinical Obstetrics and Gynecology<\/em>, 53(2), 429-438.\u00a0<a href=\"https:\/\/journals.lww.com\/clinicalobgyn\/Abstract\/2010\/06000\/Endometriosis_and_Infertility.19.aspx\" target=\"_blank\" rel=\"noreferrer noopener\">doi: 10.1097\/GRF.0b013e3181db7d71<\/a>\u00a0<\/li>\n\n\n\n<li>Farland, L. V., Prescott, J., Sasamoto, N., Tobias, D. K., Gaskins, A. J., Stuart, J. J., Carusi, D. A., Chavarro, J. E., Horne, A. W., Rich-Edwards, J. W., &amp;\u00a0Missmer, S. A. (2019). Endometriosis and Risk of Adverse Pregnancy Outcomes.\u00a0<em>Obstetrics and gynecology<\/em>,\u00a0134(3),\u00a0527\u2013536.\u00a0<a href=\"https:\/\/doi.org\/10.1097\/AOG.0000000000003410\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/doi.org\/10.1097\/AOG.0000000000003410<\/a>\u00a0<\/li>\n\n\n\n<li>Huang, Y., Zhao, X., Chen, Y., Wang, J., Zheng, W., &amp; Cao, L. (2020). Miscarriage on Endometriosis and Adenomyosis in Women by Assisted Reproductive Technology or with Spontaneous Conception: A Systematic Review and Meta-Analysis.\u00a0<em>BioMed research international<\/em>, 4381346.\u00a0<a href=\"https:\/\/doi.org\/10.1155\/2020\/4381346\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/doi.org\/10.1155\/2020\/4381346<\/a>\u00a0<\/li>\n\n\n\n<li>Minebois, H., De Souza, A., Mezan de\u00a0Malartic, C.,\u00a0Agopiantz, M., Guillet May, F., Morel, O., &amp;\u00a0Callec, R. (2017).\u00a0Endom\u00e9triose\u00a0et\u00a0fausse\u00a0couche\u00a0spontan\u00e9e. M\u00e9ta-analyse\u00a0et revue\u00a0syst\u00e9matique\u00a0de la\u00a0litt\u00e9rature\u00a0[Endometriosis and miscarriage: Systematic review].\u00a0<em>Gynecologie,\u00a0obstetrique,\u00a0fertilite\u00a0&amp;\u00a0senologie<\/em>,\u00a045(7-8), 393\u2013399.\u00a0<a href=\"https:\/\/doi.org\/10.1016\/j.gofs.2017.06.003\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/doi.org\/10.1016\/j.gofs.2017.06.003<\/a>\u00a0<\/li>\n\n\n\n<li>Santulli,\u00a0P.,\u00a0Marcellin,\u00a0L.,\u00a0Menard,\u00a0S.,\u00a0Thubert,\u00a0T.,\u00a0Khoshnood,\u00a0B.,\u00a0Gayet,\u00a0V.,\u00a0Goffinet,\u00a0F.,\u00a0Ancel,\u00a0P.Y.,\u00a0Chapron, C. (2016).\u00a0Increased rate of spontaneous miscarriages in endometriosis-affected women.\u00a0<em>Human Reproduction<\/em>, 31(5),\u00a01014\u20131023.\u00a0\u00a0<a href=\"https:\/\/doi.org\/10.1093\/humrep\/dew035\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/doi.org\/10.1093\/humrep\/dew035<\/a>\u00a0<\/li>\n\n\n\n<li>Zullo, F., Spagnolo, E., Saccone, G.,\u00a0Acunzo, M.,\u00a0Xodo, S.,\u00a0Ceccaroni, M., &amp;\u00a0Berghella, V. (2017). Endometriosis and obstetrics complications: a systematic review and meta-analysis.\u00a0<em>Fertility and sterility<\/em>,\u00a0<em>108<\/em>(4), 667\u2013672.e5.\u00a0<a href=\"https:\/\/doi.org\/10.1016\/j.fertnstert.2017.07.019\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/doi.org\/10.1016\/j.fertnstert.2017.07.019<\/a>\u00a0<\/li>\n\n\n\n<li>Abbott J. (2003). The effects and effectiveness of laparoscopic\u00a0excision\u00a0of endometriosis: a prospective study with\u00a02-5 year\u00a0follow-up.\u00a0<em>Human Reproduction.\u00a0<\/em>18(9), 1922-1927.\u00a0<a href=\"https:\/\/doi.org\/10.1093\/humrep\/deg275\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/doi.org\/10.1093\/humrep\/deg275<\/a>\u00a0<\/li>\n<\/ol>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-additional-reading\"><span id=\"additional-reading\">Additional Reading:<\/span><\/h4>\n\n\n\n<p><a href=\"https:\/\/naturalwomanhood.org\/topic\/cycle-dysfunctions\/endometriosis\/\">Learn more about Endometriosis<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/naturalwomanhood.org\/manage-endometriosis-pain-with-napro-fertility-awareness\/\">Managing Endometriosis Pain with Fertility Awareness<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/naturalwomanhood.org\/how-i-got-help-with-endometriosis-without-the-pill\/\">How I got help with endometriosis without the Pill<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/naturalwomanhood.org\/naprotechnology-answers-to-your-frequently-asked-napro-questions-2020\/\">Learn More About NaProTechnology<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/naturalwomanhood.org\/solve-pcos-irregular-periods-with-fams-not-bc\/\">How My Problems with Irregular Periods were Solved by FAMs (Not Birth Control)<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"En septembre dernier, Chrissy Teigen a partag\u00e9 la nouvelle d\u00e9chirante de la perte de son fils, Jack. Dans un post Instagram, elle a tent\u00e9...","protected":false},"author":79,"featured_media":11629,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","csco_singular_sidebar":"","csco_page_header_type":"","csco_page_load_nextpost":"","csco_post_video_location":[],"csco_post_video_url":"","csco_post_video_bg_start_time":0,"csco_post_video_bg_end_time":0,"footnotes":""},"categories":[5364,5181],"tags":[6293,4719,843],"class_list":{"0":"post-11628","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-endometriosis","8":"category-reproductive-and-menstrual-disorders","9":"tag-cycle-dysfunctions","10":"tag-endometriosis","11":"tag-miscarriage","12":"cs-entry","13":"cs-video-wrap"},"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.7 (Yoast SEO v27.7) - 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