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If you have endometriosis and want to get pregnant, you likely have questions (and maybe some anxiety) about what that diagnosis means for your future. Endometriosis can affect fertility, but it doesn’t automatically prevent pregnancy.
This month, Steven A. Brody, MD, PhD, and the Fertility & Lifespan Medical Institute team in San Diego, California, are here to answer all your endometriosis and infertility questions.
Endometriosis occurs when tissue similar to the lining of the uterus grows outside your uterus. It may attach to your ovaries, fallopian tubes, pelvic lining, or other nearby structures. These misplaced tissue growths are known as endometrial growths or endometrial lesions.
The endometrial growths respond to hormonal changes during your menstrual cycle. They can bleed, swell, and trigger inflammation. That inflammation can lead to scarring, adhesions, and distortion of normal pelvic anatomy.
Endometriosis can cause uncomfortable periods, fatigue, painful bowel movements, pain during sex, nausea, and even weight gain. So, if you have these symptoms, don’t brush them off.
About 10% of women have endometriosis, but other conditions, like fibroids, can also cause painful periods. Getting an accurate diagnosis is your next step to feeling better.
In addition to pain, endometriosis can interfere with conception in several ways. It may:
The severity of symptoms doesn’t always reflect the severity of fertility impact. Some women with mild symptoms struggle to conceive, while others with significant pain become pregnant without difficulty.
Yes, many women with endometriosis conceive naturally. Your chances depend on several factors, including your age, the stage of endometriosis, ovarian reserve, and whether other fertility issues are present.
If you’re under 35 and have been trying to conceive for 6-12 months without success (or over 35 and trying for 6 months), it is time to seek an evaluation with Dr. Brody. Starting your fertility assessment now allows you to explore options before time becomes a limiting factor.
Your treatment plan depends on your diagnosis and reproductive goals. Dr. Brody can recommend lifestyle changes, such as dietary adjustments and regular exercise, to help your body cope with endometriosis.
In addition, he may recommend:
In some cases, surgery improves natural conception rates. In others, assisted reproductive technology offers a more effective path. The right approach is individualized to you.
At Fertility & Lifespan Medical Institute, Dr. Brody evaluates your hormone levels, ovarian reserve, tubal patency (how open your fallopian tubes are), and overall reproductive health before recommending a plan.
In some cases, surgical treatment for endometriosis can improve fertility outcomes, especially when scar tissue, cysts, or distorted anatomy are interfering with conception.
In one study, 65.8% of women who wanted children became pregnant after surgery. Pregnancy rates were significantly higher in women under 35. Laparoscopic surgery, which is a minimally invasive approach, was also associated with improved outcomes.
Not always. Treatment decisions depend on your symptoms, age, and fertility goals. If pain is severe or imaging suggests significant scarring, surgical management may help.
However, when endometriosis forms cysts on your ovary (called endometriomas), surgical removal may impact your ovarian reserve. That’s why a comprehensive evaluation matters before making a decision.
Dr. Brody builds strategic plans that protect your comfort and fertility potential.
You should schedule a fertility evaluation if you:
Waiting too long can limit your options.
Endometriosis can feel overwhelming, especially when fertility is part of the conversation. But many women with endometriosis build families successfully with the right guidance and support.
If you’re ready for answers, schedule a consultation with Dr. Brody today. Call our office at 858-216-2096 or use our online form.
