Getting to Know Endometriosis With Fertility Specialist Jane Frederick, MD

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Tabitha Britt (formerly Tabitha Shiflett) is an editor, journalist, and…

DO YOU ENDO spoke with Jane Frederick, MD, an internationally noted fertility reproductive endocrinologist, about Endometriosis and what it means for women who are trying to conceive.

DO YOU ENDO: Many of our readers already know what Endometriosis is, but could you give us a simple definition for those who don’t know about Endo or for those who are new to the community?

Dr. Frederick: “It is a condition where a layer of tissue that ordinarily lines the inside of the uterus grows on the outside of the uterus. In most cases, the tissue ends up on the ovaries or the Fallopian tubes. A pelvic exam or ultrasound can show signs of Endometriosis, but for a firm diagnosis, a laparoscopy is needed.

DO YOU ENDO: There isn’t a cure for Endometriosis, but what else can EndoWarriors do to manage the pain?

Dr. Frederick: “Some women are prescribed hormones such as birth control to regulate their period, offer less discomfort during their period, and possibly a lighter flow.”

DO YOU ENDO: Can endometriosis affect fertility?

Dr. Frederick: “Factors associated with Endometriosis, such as irritation and inflammation, can affect the transport of eggs to the Fallopian tubes. Fallopian tubes can even be blocked due to endometriosis. Endometriosis can also cause swelling and scarring, which can also affect the eggs reaching the Fallopian tubes.”

DO YOU ENDO: Can you please describe each stage of Endometriosis?

Dr. Frederick: “According to ASRM (American Society of Reproductive Medicine) Endometriosis can be described as having four stages.”

Stage I (also referred to as the minimal stage): “Typically in this stage women experience swelling on/around the organs located in the pelvic region. Women can have small lesions or patches in this area as well.”

Stage II (also referred to as the mild stage): “The side effects are more prevalent than the previous stage with limited damage to the pelvic organs. Minimal scarring or adhesions.”

Stage III (also referred to as the moderate stage): “This stage is classified as being more widespread. At this stage, the tissue is beginning to attach more to the organs in the pelvic region. In some cases, women can show more scarring and adhesions at this stage.”

Stage IV (also referred to as the severe stage): “At this stage, several organs in the pelvic region and the ovaries after being affected by the disease. By now a female is experiencing multiple adhesions and even changes to her anatomy.”

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