WOMEN’S HEALTH • FERTILITY CARE
Endometriosis & Fertility
Learn how endometriosis may affect reproductive health and fertility, and explore treatment options based on your individual needs.
What is endometriosis?
Endometriosis occurs when tissue similar to the uterine lining grows outside the uterus. It may cause pain, inflammation and changes involving the ovaries, fallopian tubes or surrounding tissues, which can affect fertility.
How can endometriosis affect fertility?
Endometriosis may affect reproductive function in several ways.

Pelvic inflammation

Ovarian involvement

Adhesions

Changes around the fallopian tubes

Reduced ovarian reserve in some cases

Difficulty conceiving
Common symptoms of endometriosis
Symptoms can range from mild to severe and may not always reflect the extent of the condition.

Painful periods

Pelvic pain

Pain during intercourse

Painful bowel movements

Heavy or irregular bleeding

Difficulty conceiving
How is endometriosis evaluated?
Evaluation focuses on symptoms, reproductive health and possible pelvic involvement.
1. Medical History
We review pain patterns, menstrual history and fertility concerns.
2. Pelvic Examination
An examination may help identify areas of tenderness or other signs.
3. Ultrasound
Imaging may help identify ovarian endometriomas and other findings.
4. Fertility Assessment
Ovarian reserve, tubal health and other fertility factors may be evaluated.
Fertility Treatment Options for Endometriosis
Treatment is planned according to disease severity, age and fertility goals.
Medical Management
Medication may help manage symptoms when appropriate.
Surgical Treatment
Surgery may be considered in selected cases.
Ovulation Treatment
Fertility medication may be appropriate in specific situations.
IUI
IUI may be considered depending on tubal health and other factors.
IVF
IVF may be recommended when endometriosis or other fertility factors make conception more difficult.
Frequently Aksed Questions?
1. Can endometriosis cause infertility?
Endometriosis can affect fertility, although many women with endometriosis conceive.
2. Can I get pregnant naturally with endometriosis?
Yes. Natural conception is possible for some women.
3. Does endometriosis reduce ovarian reserve?
Endometriosis, particularly when involving the ovaries, may affect ovarian reserve.
4. Is surgery always needed?
No. Treatment depends on symptoms, disease extent and fertility goals.
5. Can IVF help with endometriosis?
IVF may help when endometriosis or other factors are affecting conception.
6. Does endometriosis affect egg quality?
Endometriosis may affect ovarian function in some women, but individual assessment is important.
Do not let uncertainty delay your fertility plans
Get evaluated and understand your treatment options