18 Jun How Endometriosis Affects Fertility
Endometriosis is a condition that affects millions of women, often bringing with it chronic pain and other disruptive symptoms. But one of its most difficult impacts is on fertility. If you’ve been diagnosed with endometriosis or suspect you may have it, understanding how it can affect your ability to conceive is an important part of planning your care.
Here’s what you need to know.
The Connection Between Endometriosis and Fertility
Endometriosis occurs when tissue similar to the lining of the uterus grows outside of it, often on the ovaries, fallopian tubes, and other pelvic organs. This tissue responds to hormonal changes and can cause inflammation, scar tissue (adhesions), and cysts.
All of these factors can interfere with fertility in several ways:
- Blocked fallopian tubes: Scar tissue can block or distort the fallopian tubes, preventing the egg and sperm from meeting.
- Ovarian function: Endometriomas (ovarian cysts caused by endometriosis) can damage ovarian tissue and affect egg quality.
- Inflammation: Chronic inflammation in the pelvis can create a less favorable environment for fertilization and implantation.
- Hormonal imbalance: Endometriosis can disrupt normal hormonal signaling, impacting ovulation and cycle regularity.
It’s estimated that up to 30-50% of women with endometriosis experience challenges with fertility.
What You Can Do
A diagnosis of endometriosis doesn’t mean you can’t get pregnant—but it may mean that treatment and careful management are needed.
For some women, minimally invasive surgery to remove endometrial implants and scar tissue can improve fertility outcomes. Others may benefit from assisted reproductive technologies like in vitro fertilization (IVF). The best approach depends on your individual situation, the severity of your endometriosis, and your family-building goals.
Why Early Care Matters
The sooner endometriosis is diagnosed and treated, the better your chances of preserving fertility. Unfortunately, many women go years without an accurate diagnosis. If you’re experiencing symptoms such as pelvic pain, painful periods, pain during sex, or unexplained infertility, it’s important to seek specialized care.
Expert Guidance for Your Fertility Journey
Dr. Paul MacKoul is a leader in minimally invasive gynecologic surgery and has helped many women with endometriosis achieve improved fertility and relief from symptoms. His advanced surgical techniques can often remove disease while preserving reproductive health.
If you’re navigating fertility challenges related to endometriosis, expert guidance can make all the difference.
Schedule a consultation with Dr. Paul MacKoul today to explore your treatment options and take the next step toward your family goals.