Endometriosis and Conception: The Complete Women's Guide

Endometriosis and conception

Introduction

"Period pain is normal.. right?"

If you have ever curled up with a hot water bottle thinking your unbearable cramps were ''just part of being a woman,'' you are not alone. However, what if we told you that this ''normal pain'' could be a sign of something much more serious?

Endometriosis, an invisible condition affecting millions of women worldwide and often going undetected for years, causes monthly discomfort as well as impacts fertility. Beyond monthly pain relief, it may even inhibit conception.


At PRATAP IVF, we are changing that narrative. Through advanced diagnostics and special treatment plans specifically for women's fertility journeys, with care, clarity and compassion, Pratap IVF is helping women decode symptoms to take charge of their fertility journeys with confidence and control.


What is Endometriosis?

Endometriosis occurs when tissue similar to the endometrium (the lining of the uterus) grows outside the uterus, on the ovaries, fallopian tubes, or pelvic lining. These lesions respond to hormonal changes during the menstrual cycle, causing inflammation, pain, and scarring.


Key Symptoms of Endometriosis

Many women live with endometriosis for years without realising it. Some common symptoms include:

  • Severe menstrual cramps that do not improve with pain relief

  • Heavy or irregular periods

  • Chronic pelvic pain

  • Pain during or after intercourse

  • Fatigue and low energy

  • Digestive issues like bloating, constipation, or diarrhea

  • Difficulty getting pregnant

It is important to note that some women with endometriosis may have no symptoms at all and only discover it during fertility evaluations.


How does Endometriosis Affect Fertility?


One of the most common concerns is can women with endometriosis can get pregnant. The answer is yes, although it may require more time, medical support, and a personalised approach.

  • Ovarian cysts (endometriomas) can affect egg quality

  • Pelvic inflammation can alter the environment needed for fertilisation and implantation

  • Hormonal imbalances can disrupt ovulation

  • Poor implantation of the embryo due to damage to the uterus lining

  • Scar tissue or adhesions can block the fallopian tubes, preventing sperm from reaching the egg.

Despite these complications, many women with endometriosis conceive successfully, either naturally or with medical assistance.


Treatment Options for Endometriosis-Related Infertility


1. Laparoscopic Surgery

This minimally invasive surgery allows for the removal of cysts and scar tissue. This procedure can improve fertility in women who have mild to moderate endometriosis.

2. Ovulation Induction + IUI (Intrauterine Insemination)

It involves stimulating the ovaries to produce eggs and then placing sperm in the uterus. This is most effective when the fallopian tubes and endometriosis are mild.

3. In Vitro Fertilisation (IVF)

IVF is the best option for women with moderate to severe endometriosis. It can overcome many of the challenges that are caused by this condition, such as blocked tubes and poor egg collection.


What Are the Chances of Pregnancy with Endometriosis?

Women with early-stage endometriosis often conceive naturally or with minimal support. Pregnancy outcomes vary depending on several factors:

  • Age and ovarian reserve

  • Stage of endometriosis 

  • Previous surgical treatments

  • Presence of ovarian endometriomas or adhesions

  • Time already spent trying to conceive


When Should You See a Fertility Specialist?

You should consult a fertility expert if:

  • You have been trying to conceive for 6 months (if you are over 35) or 12 months (under 35)

  • You have known or suspected symptoms of endometriosis

  • You have had previous pelvic surgeries or have been diagnosed with endometrial cysts

  • Your menstrual pain significantly affects your daily life

At Pratap IVF, we provide specialized diagnostic tools like transvaginal ultrasounds, laparoscopy, and Endoscopy, paired with individualized treatment plans tailored to address fertility challenges caused by endometriosis.


Conclusion

Trying to conceive with endometriosis can feel overwhelming, but you are not alone.

At Pratap IVF, we understand that every woman's journey is unique. We help you find the answers, hope, and the right path forward through thoughtful diagnosis and personalized care. From understanding your symptoms to choosing the right treatment, we are here to guide you at every stage of your fertility journey. Our team will walk with you if you are ready to make that first step.