Endometriosis, role of surgical treatment in restoring female fertility in AL-Nasiriya City

الملخص EN

ABSTRACT Endometriosis is a hormonal and immune system disease in which cells similar to that which line the uterus (endometrium) grow outside the uterine cavity, most commonly on the membrane which lines the abdominal cavity, the peritoneum.

The uterine cavity is lined with endometrial cells, which are under the influence of female hormones.

Endometrial cells in areas outside the uterus are also influenced by hormonal changes and respond in a way that is similar to the cells found inside the uterus.

Common symptoms of endometriosis are pain and infertility.

The pain often is worse with the menstrual cycle and is the most common cause of secondary dysmenorrhea.Endometriosis is typically diagnosed during the reproductive years, but has been diagnosed in girls as young as 8 and has been found to continue past menopause, it has been estimated that endometriosis occurs in roughly 4–10% of women.[1] Symptoms may depend on the site of active endometriosis.

Its main but not universal symptom is pelvic pain in various manifestations.

There is an established association betweene.endometriosis and infertility.[1] Endometriosis has a significant social and psychological impact.[2]There is no cure for endometriosis, but it can be treated in a variety of ways, including pain medication, hormonal treatments, and surgery.[3]This study was done on 76 infertile females more than 5 years , general seminal analysis of those females partners were normal ( active form of sperms are more than 50% with good number of sperms , high percentage of normal morphology of sperms in general seminal analysis) examination of those females genital tracts and sex hormonal assay with prolactin hormone all normal except the endometriosis of the wall of uterus with the parietal peritoneum and posterior layer of anterior abdominal wall one year(feberury2011-feberury2012) spend for collection of data and other 2 years( feberary2012-feberury 2014) for fallow up the patients for pregnancy .

age of patients range between 28—38 years , 13.2% of patients had previous caesarian section.We get from this study 63.1% were get pregnant after the surgical treatments of endometriosis within 2 years post operatively.

37.5% were pregnant at first 6 months post operative , 29.2% at 2nd 6 months after operation and 33.3 at the 2nd year after operation .