5 Most Asked Questions About Endometriosis and Fertility

Endometriosis is a common yet often misunderstood condition that affects approximately 10% of women of reproductive age. It occurs when tissue similar to the lining of the uterus grows outside the womb, leading to symptoms such as pelvic pain, heavy periods, and, in some cases, difficulties with fertility. 

If you have been diagnosed with endometriosis and are trying to conceive, you may have many questions about how the condition affects your fertility and what options are available to help. Here, I address five of the most commonly asked questions about endometriosis and fertility. 

1. How does endometriosis affect fertility?

Endometriosis can impact fertility in several ways. It may cause inflammation and scarring, leading to blocked fallopian tubes or distorted pelvic anatomy, which can make it harder for the egg and sperm to meet. In some cases, endometriosis may affect the quality of eggs or the uterine environment, making implantation more challenging. However, many women with endometriosis can still conceive naturally or with medical assistance.

2. What fertility treatment options are available for those with endometriosis? 

Fertility treatments depend on the severity of endometriosis and the individual’s reproductive goals. For mild cases, lifestyle adjustments and ovulation tracking may be enough. In more moderate to severe cases, treatments such as ovulation induction with medication, intrauterine insemination (IUI), or in vitro fertilisation (IVF) may be recommended. IVF is often the most effective treatment, especially if there are significant adhesions or tubal damage.

3. Are there ways to manage endometriosis symptoms to improve fertility outcomes?

Yes, managing endometriosis effectively may improve fertility outcomes. Hormonal treatments like the combined pill or progestogens can help control symptoms but are usually paused when trying to conceive. Anti-inflammatory diets, exercise, and stress management may also be beneficial. Consulting a fertility specialist early on can help create a tailored plan that balances symptom management with fertility goals.

4. Does surgery for endometriosis improve chances of conception?

Surgical removal of endometriosis (laparoscopy) can sometimes improve fertility, particularly if the condition is severe and causing significant anatomical distortion. Surgery can remove adhesions, cysts, and lesions, potentially improving the function of the ovaries and fallopian tubes. However, the decision to undergo surgery should be carefully considered with a specialist, as repeated surgeries may reduce ovarian reserve.

5. What advice would you give to someone trying to conceive with endometriosis?

If you have endometriosis and are trying to conceive, seek support early. A fertility consultation can provide clarity on your individual situation and help you make informed decisions about your options. Maintaining a healthy lifestyle, managing stress, and working closely with a fertility specialist can all play a role in optimising your chances of success. Fertility preservation, as egg freezing, could also be discussed with a fertility specialist. Every journey is unique, and with the right support, many individuals with endometriosis can achieve their dream of parenthood.

If you have further questions or need support, our team at Lister Fertility Clinic is here to help. Contact us to learn more about your options and how we can support you on your fertility journey.