Dr Marta Moschetta
Clinical Director, Fertility Consultant
“Endometriosis and adenomyosis can complicate fertility, but they don’t make it impossible,” highlights Dr Marta Moschetta, Clinical Director of Sims IVF Clinic and Fertility Consultant.
Endometriosis and adenomyosis are chronic gynaecological conditions that can result in pelvic inflammation, structural scarring and abnormal muscular function. They affect egg quality, implantation and fertility, and require personalised management. Dr Marta Moschetta, Fertility Consultant, hopes to empower women through raised awareness and early intervention.
“One of the biggest challenges is delayed diagnosis,” explains Dr Moschetta. “Many suffer from these conditions, and they don’t even know it. There’s a real lack of awareness, even amongst clinicians.”
Diagnosis and management
Too often, women’s health concerns are dealt with privately or endured, thought of as a normal part of womanhood, rather than proactively managed. While 1 in 10 women are believed to have endometriosis, the condition can go undiagnosed or misdiagnosed for years, often described as a ‘silent disease.’
“Strong, heavy, painful periods in your 30s shouldn’t be affecting daily life or causing you to miss work,” explains Moschetta. “This can be a symptom, alongside pelvic pain, abdominal bloating and pain during intercourse.”
A combination of blood tests, clinical history and imaging can be used to diagnose both conditions, and while surgery may be recommended for definitive diagnosis, fertility preservation must be discussed in advance.
With appropriate management, patients with endometriosis, adenomyosis or both can still successfully conceive
Personalised care and management
With appropriate management, patients with endometriosis, adenomyosis or both can still successfully conceive, and Dr Moschetta is clear to highlight the term ‘subfertility’, rather than ‘infertility’.
Sims IVF is an approved HSE Fertility Clinic, with locations in Clonskeagh, Swords, Cork, Carlow, Limerick, Dundalk and Wexford, offering fertility treatments and services tailored to each patient’s needs. “Our goal is to treat symptoms and preserve fertility, allowing patients the best chance to conceive, naturally or with assisted methods, such as IVF,” continues Moschetta.
“We provide personalised services, unique to each patient, and we share complex cases weekly to continuously improve our care and services.”
While endometriosis and adenomyosis can complicate fertility, they don’t define it, and many people living with these conditions go on to conceive.
