Designed by FreePik

What is Endometriosis?

Endometriosis is a condition where tissue similar to the uterine lining grows outside the uterus, most commonly on the ovaries, fallopian tubes, or pelvic lining. This tissue reacts to monthly hormonal changes, leading to pain, inflammation, and sometimes scar tissue or adhesions.

How Does Endometriosis Affect Fertility?

Endometriosis can reduce fertility by:

• Blocking fallopian tubes with scar tissue

• Causing ovarian cysts (endometriomas) that reduce ovarian reserve

• Creating inflammation that affects egg, sperm, or embryo quality

• Changing the uterine environment, making implantation more difficult

It is estimated that 30–40% of women with endometriosis may experience infertility, but many still conceive with the right treatment.

What Are the Symptoms of Endometriosis?

Common symptoms include:

• Painful or heavy periods

• Pelvic pain outside of menstruation

• Painful intercourse

• Bloating, fatigue, or digestive issues

• Difficulty conceiving

Some women may have no symptoms at all until they face challenges with fertility.

How is Endometriosis Diagnosed?

At Janini IVF, diagnosis involves:

• Ultrasound and imaging to detect ovarian cysts or abnormalities

• Laparoscopy, a minimally invasive procedure that confirms endometriosis and allows for removal of disease spots or adhesions in the same sitting

Laparoscopy is considered the gold standard for diagnosis and treatment.

Can You Get Pregnant Naturally with Endometriosis?

Yes — women with mild endometriosis can and often do conceive naturally. However, moderate to severe endometriosis makes natural conception less likely, and fertility treatments are usually recommended to improve the chances of pregnancy.

What Are the Treatment Options for Endometriosis at Janini IVF?

Treatment depends on the stage of the disease and fertility goals:

• Laparoscopic surgery: Removes endometriosis lesions and adhesions, restoring pelvic anatomy.

• IUI (Intrauterine Insemination): Suitable for mild cases where natural conception is possible with support.

• IVF (In Vitro Fertilisation): The most effective option for moderate to severe endometriosis. As Janini IVF notes, IUI may not work well in advanced cases — IVF remains the safer, more reliable choice.

• ICSI and ERA testing: Advanced techniques that can further optimise success rates when combined with IVF.

When Should You See a Fertility Specialist?

You should consult a fertility expert if:

• You have painful or irregular periods

• You have been trying to conceive for over 6–12 months without success

• You have already been diagnosed with endometriosis and are planning pregnancy

Early consultation allows for better treatment planning and higher success rates.

Why Choose Janini IVF for Endometriosis Treatment in Delhi?

At Janini IVF, we offer:

• Experienced specialists with expertise in endometriosis-related infertility

• Advanced technology, including minimally invasive laparoscopy and robotic ICSI

• Transparent guidance on costs, treatments, and success rates

• Compassionate care that supports both your medical and emotional journey

Final Word

Endometriosis may be challenging, but it does not define your fertility journey. With early diagnosis and the right treatment — from laparoscopy to IVF — many women with endometriosis go on to achieve successful pregnancies.

At Janini IVF, Delhi, we are here to help you take the next step with confidence and care.

Frequently Asked Questions on Endometriosis and Fertility

1. Can I get pregnant if I have endometriosis?
Yes. Many women with mild endometriosis conceive naturally. For moderate to severe cases, fertility treatments such as IVF significantly improve the chances of pregnancy.

2. Does surgery help with endometriosis and fertility?
Laparoscopic surgery can remove endometriosis lesions and adhesions, restoring pelvic anatomy and improving fertility. At Janini IVF, this is often the first step before advanced treatments.