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Endometriosis Stages and Your Ability to Get Pregnant

Endometriosis stages determine the severity of this condition. Doctors commonly assess the severity of endometriosis based on the following classification of endometriosis stages, which is established by the severity of endometrial implants and growth outside of the uterus within the female reproductive organs and abdominal cavity.

Endometriosis is a condition that involves the formation of adhesions, cysts, and lesions that cause pain, infertility and inflammation of the uterine cavity. These symptoms are due to the presence of endometrial cells that migrate away from the uterus and implant themselves in other areas forming endometrial implants.

These implants are responsible for the symptoms and discomforts of endometriosis. They are present on the ovaries, intestines, and fallopian tubes. They can also be found on the surface of the pelvic cavity and other organs like vagina, cervix, rectum, even lung and brain.

When hormonal changes signal the shedding of the uterine lining, the implants respond by bleeding. This blood cannot be released and remains inside the organ where it is located forming cysts, causing scarring and adhesions.

The following are the different endometriosis stages of endometrial implants:

Stage One

During stage one, the number of endometrial implants is minimal. These are usually present in narrow areas between the organs as isolated incidents. Many women in this stage have no endometriosis symptoms.

Stage Two

During stage two the level of endometrial implants increases to mild. There are few small areas with small implants.

For example, one of both ovaries is now affected. In this stage there could be the formation of small areas of adhesions and scar tissue. Endometriosis symptoms are mild at this stage.

Stage Three

During stage three the level of endometrial implants is moderate and several reproductive organs are affected.

Women in this stage develop typical endometriosis symptoms and suffer from endometriosis pain because the areas of adhesions and scar tissue formation are quite prominent.

Stage Four

During stage four the level of endometrial implants becomes severe and several reproductive organs are now affected.

The entire pelvic area contains large amounts of endometrial tissue implanted deeply with large adhesions.

The symptoms of endometriosis like pelvic pain are severe. At this stage and many women have difficulty conceiving.

Endometriosis Stages and Point System

The four stages of endometriosis diagnosis are also described on the bases of a weighted point system. The endometriosis point system describes the extent of endometriosis based on the, location, size, and number of endometrial implants.

Stage One: Minimal implantation(1-5 points).

Stage Two: Mild implantation (6-15 points).

Stage Three: Moderate implantation (16-40 points).

Stage Four: Severe implantation( 40 points or more).

Endometriosis Location, Symptoms & Infertility

The following are the most common locations of endometrial implants:

Ovaries: this is the most common site that causes ovulatory pain.

Fallopian Tubes: the tubes may become twisted and displaced due to adhesions causing infertility.

Uterus: this type of location may prevent implantation.

Broad or Round ligament of the uterus: causing pain and diplacing the reproductive organs as a result of adhesions.

Intestine: causing irritable bowl, constipation and pain during menses and ovulation.

Bladder and ureters: causing pain infections and bowel irritability.

Bowel: causing severe pain with bowel movements

Cervix and vagina: causing pain during intercourse, spotting and abnormal bleeding.

Complications Of Endometriosis Causing Infertility

Complications of endometriosis casing infertility include:

  • Internal pelvic and organ scarring
  • Pelvic adhesions
  • Pelvic cysts
  • Chocolate cyst of ovaries
  • Rupture cyst
  • Bowel blockage
  • Blocked fallopian tubes

Endometriosis cause infertility by the formation of scars that are responsible for the anatomical distortions of the reproductive organs like uterus, fallopian tubes and ovaries.

Furthermore, endometriosis also interferes through chemicals like the production of cytokines that interfere with reproduction. Cytokines regulate various inflammatory responses and can have hormonal and immunological action.

Endometriosis Stages and Fertility

Fertility problems arise most likely when the spreading of the endometrial tissues is moderate to severe.

The intensity of the endometriosis symptoms will not necessarily correspond with the stage of endometriosis.

In fact, it is possible for women with mild endometriosis to experience severe symptoms, and for women with severe endometriosis to experience no symptoms at all.

Determining Endometriosis Stages

How are endometriosis stages determined? During a pelvic examination, the woman describes her symptoms of pelvic pain that is usually worse during menses.

A physical examination is limited to assess the severity of endometriosis and it cannot pinpoint the stage of the endometriosis.

The following tests are usually done to confirm endometriosis diagnosis and to evaluate specific endometriosis stages.


There are two different types of ultrasound that can be performed. One is a trans-vaginal ultrasound during which a scanner probe is inserted into the opening of the vagina to view ovarian endometriosis.

The other type of ultrasound is a common pelvic ultrasound that gives an accurate image of the abdomen allowing to determine the specific locations and endometriosis stages.


A laparoscopy is recommended if the ultrasound fails to detect endometrial implants.

This type of procedure is quite accurate and will confirm the endometriosis diagnosis as well as the severity of endometriosis.

This test is used as the last resort because it requires a general anesthetic and small abdominal surgical incisions need to be made.

Through these incisions a probe containing a camera will show with great detail the condition of the reproductive organs and which stage of endometriosis has been reached.

Natural Health for Endometriosis Stages

Endometriosis and fertility problems are among those type of conditions that respond well to natural health therapies like acupuncture, herbal medicine, homeopathy, special diets, mineral and vitamin supplementation.

Natural Endometrial Support

If you are suffering from endometriosis it is very important to support the heath of the endometrium and the uterus. Taking herbal remedies is a very effective way to keep the inflammation of the endometrium at bay.

In traditional Chinese and Oriental medicine, the health of the endometrium is closely linked with liver health as the liver plays an important part in removing toxins from the body, as well as maintaining the health of the immune system. 

This remedy helps reduce the symptoms of endometriosis and also decrease the spreading of the endometrial tissue.

It contains important key nutrients for liver detox in eliminating excess estrogen and remedies for specific endometrial support.

Even if some endometriosis stages are more severe than other you can cure endometriosis naturally. 

Endometriosis Support Natural Protocol

The following is a easy to follow protocol 4 months protocol that can help those who suffer from any stage of endometriosis. Mild endometriosis can be cured with this method. It is recommend not to try to conceive while on this protocol.

STEP 1 (1st Month)

Fertility Cleanse Kit to assist the body in eliminating toxins and especially excess harmful hormones. Estrogens are synthesised primarily in the ovaries and in smaller amount in the liver, fat tissue, adrenal glands, breasts and fat tissue. Ultimately, they are broken down in the liver.

If your liver is overburden by too many toxic chemicals, it will have a hard time eliminating excess synthetic hormones like xenoestrogen, which will remain in circulation and continue to stimulate the formation of endometriosis.

STEP 2 (Month 1-4)

Self-Fertility Massage DVD with castor oil therapy. Doing self-fertility massage is the best way to ensure blood circulation to the reproductive organs but especially to the uterus.

RadiantWomb oil is an excellent remedy that you can use while doing self-fertility massage and with castor oil packs.

This therapeutic oil contains botanicals and essential oils that help decrease inflammation, soften the tissues and increase blood flow to th euterus, ovaries and fallopian tubes.

STEP 3 (Month 1-4)

EndoWise Fertility Kit is recommended for a more comprehensive treatment to endometriosis symptoms. This kit contains many therapies: herbs, enzymatic therapy, bio-identical natural progesterone cream, and DIM.

If you suffer from endometriosis and want to get pregnant consider a natural approach first, as surgery and other invasive treatments can often cause more damage to the endometrium than the endometriosis itself.

Many Blessing!

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