Endometriosis and Infertility

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Endometriosis and Infertility

A Silent Disruption, A Treatable Challenge

For many women, painful periods are dismissed as “normal.” But in cases where pain is chronic, intense, or paired with infertility, endometriosis may be the underlying cause. At Sparsh IVF, we understand the complexities of this often overlooked condition — and more importantly, how to treat it.

Endometriosis is not just a painful condition — it’s a major contributor to female infertility worldwide. With early diagnosis, focused care, and advanced reproductive technology, we help women with endometriosis reclaim control of their fertility journey.

What Is Endometriosis?

Endometriosis is a condition where tissue similar to the endometrium (the inner lining of the uterus) grows outside the uterus — commonly on the ovaries, fallopian tubes, outer surface of the uterus, and pelvic lining.

These displaced tissue patches:

  • Thicken and bleed during each menstrual cycle
  • Cause inflammation, scarring, and adhesions
  • Often lead to pain, irregular bleeding, and infertility

It is estimated that 30–40% of women with endometriosis face difficulty in conceiving. Yet, with the right approach, successful pregnancy is still very much possible.

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How Endometriosis Affects Fertility

  • Distorted pelvic anatomy: Adhesions can restrict the movement of ovaries and tubes.
  • Blocked fallopian tubes: Scar tissue may prevent sperm and egg from meeting.
  • Poor egg quality: Chronic inflammation impacts ovarian function.
  • Implantation failure: The uterine lining may not be receptive due to inflammation.
  • Hormonal imbalance: Disruption of estrogen and progesterone levels affects ovulation.

This is why early diagnosis and expert fertility care are crucial in endometriosis-related infertility.

Common Symptoms of Endometriosis

  • Painful periods (dysmenorrhea)
  • Pain during intercourse (dyspareunia)
  • Chronic pelvic pain
  • Painful bowel movements or urination during periods
  • Heavy or irregular bleeding
  • Fatigue or low energy
  • Difficulty conceiving after 6–12 months of trying

However, some women with endometriosis may show no symptoms at all — which is why proper fertility evaluation matters.

Symptoms of Endometriosis
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How Endometriosis Is Diagnosed

At Sparsh IVF, we use a comprehensive diagnostic approach:

  • Clinical history —  including pain patterns, menstrual irregularity, or prior surgeries
  • Pelvic ultrasound —  to detect ovarian cysts (endometriomas)
  • MRI scan —  in complex or deep cases
  • Laparoscopy —  the gold standard; allows visual confirmation and staging of endometriosis

Laparoscopy not only confirms the diagnosis but can also be therapeutic, as the lesions can often be removed during the same procedure.

Endometriosis and IVF: When to Consider Assisted Reproduction

Depending on the severity and reproductive goals, your doctor may recommend:

SeveritySuggested Approach
Minimal/MildOvulation induction or IUI, if tubes are open and age is favorable
ModerateSurgery to remove lesions, followed by timed cycles or IUI
SevereDirect progression to IVF, especially with damaged tubes or low ovarian reserve

IVF for endometriosis offers:

  • Bypass of tubal damage
  • Controlled stimulation and egg retrieval
  • Preimplantation embryo support
  • High pregnancy success rates with tailored protocols

At Sparsh IVF, we adapt stimulation doses to minimize inflammation and optimize egg quality in endometriosis patients.

Can I Conceive Naturally with Endometriosis?

Yes — especially in cases of mild endometriosis. Many women conceive naturally after lifestyle changes, pain management, and surgical correction. However, if natural conception doesn’t occur within 6–12 months, further intervention may be required.

Treatment at Sparsh IVF

Our approach is multidimensional:

  • Accurate diagnosis using advanced imaging and laparoscopy
  • Medical management with hormonal therapy (if not trying to conceive immediately)
  • Surgical correction for adhesions, cysts, or structural distortion
  • Customized IVF protocols that protect ovarian reserve and improve outcomes
  • Fertility preservation options for women not ready to conceive yet
  • Compassionate counselling and long-term monitoring
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Endometriosis treatment

Endometriosis and Emotional Health

Chronic pain and failed attempts at pregnancy can take a toll on emotional well-being. At Sparsh IVF, we offer wellness counselling and mental health support, ensuring that patients feel heard, seen, and supported throughout.

Why Choose Sparsh IVF?

  • Proven expertise in managing endometriosis-related infertility
  • Laparoscopic and IVF services under one roof
  • Evidence-based treatment tailored to age, stage, and symptoms
  • Focus on both pain relief and pregnancy planning
  • Ethical, patient-first care model

Let’s Untangle the Pain and Find a Path Forward

Endometriosis is complex, but not unbeatable. With the right team and right treatment plan, the journey from pain to pregnancy is absolutely possible.

Book your endometriosis fertility consultation at Sparsh IVF and let us walk with you — from diagnosis to delivery.

Your pain is real. So is your hope. At Sparsh IVF, we treat both — with science, care, and conviction.