ENDOMETRIOSIS is linked to a reduction in birth rates in the years preceding a surgical diagnosis of the condition, according to Swedish and Finnish researchers.
The team looked at 18,324 Finnish women, aged between 15 and 49 years, who had surgical verification of endometriosis, and matched them with 35,793 similar women who did not have endometriosis.
A total of 7,363 women (40%) with endometriosis and 23,718 women (66%) without endometriosis delivered a live baby during the follow-up period.
The incidence rate of first live births among women with endometriosis was half that of women without the condition.
The team also found birth rates decreased in women with and without endometriosis, compared with women born in the 1940s, but particularly among women with the condition.
The researchers say this may be because women are more likely to be diagnosed with endometriosis earlier, and the age at which women have their first child has increased since the 1940s, so adverse effects of endometriosis may accumulate in women by the time they have a child.
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