I have missed my period for two months now and not pregnant even though I’m trying to get pregnant. I have had serve endomertiosis. Could that be the problem?
Ob Gyn Utah County Endometriosis
Yes! There are 4 stages of severity either known as stages 1-4. I like the descriptive terminology of minimal, mild, moderate, or severe. In order to truly have severe endometriosis you must have severe adhesive disease, endometriomas, and significant involvement of ovaries and/or other pelvic organs. If you truly have “severe” endometriosis then that most certainly could significantly limit your likelihood of conception.
Follow-Up and Suggestions
Have you had an HSG or hysterosalpingogram to document tubal patency? Did they do a “hydrotubation” at the time of your scope for documenting if your tubes were open and functioning appropriately? I would suggest an in office sonohysterogram in which normal saline is infused through the cervix and into the uterus to see if tubal spillage occurs to document open fallopian tubes. If the tubes are closed—which they frequently are in truly severe endometriosis–then in vitro fertilization (IVF) might be necessary for conception.
-Dr. Mark T Saunders