A 32-year-old woman presents to our office regarding difficulty conceiving. She and her partner have been attempting conception for 13 months. The patient reports regular every 28-day painful menstrual cycles since menarche at age 13. She reports her cycles have become more painful. Usually, her dysmenorrhea is relieved with nonsteroidal anti-inflammatory medications. However, while still happening occasionally, she is more frequently absent from work during menses due to pain. She denies a history of sexually transmitted infections and prior pelvic surgery. Her partner has no children. The referring provider initiated an evaluation and sent you results of a normal semen analysis demonstrating normal morphology, hysterosalpingogram demonstrating bilateral tubal patency and normal endometrial morphology, and day 21 progesterone consistent with ovulation. Pelvic ultrasonography showed a 6.8 cm retroverted uterus with a 3.4 cm left complex ovarian cyst with a “ground glass” background and one thin septation suggestive of an endometrioma cyst. The patient previously used barrier contraception and withdrawal. She used oral contraceptives for a brief interval, but discontinued them due to side effects. Read more
Endometriosis is a chronic, inflammatory relatively common condition, determined by the presence of endometrial glands and stroma outside the uterus and is associated with both pelvic pain and infertility. It is estimated at 5-10%, which corresponds to about 176 million women affected worldwide. It is also estimated that this affects about one in 10 women during their reproductive ages (usually between the ages of 15 and 49). Ectopic endometrial tissue is usually located in the pelvic area, but can appear anywhere in the body. Read more
Parents Life is the leading provider of fertility treatments to couples from Ukraine and abroad since 2013.