Distorted Pelvic Anatomy
Scar tissue and adhesions can block or twist the fallopian tubes and ovaries, stopping the egg and sperm from meeting.
Fertility Guide · Reproductive Health
Endometriosis And Fertility
Endometriosis is a common medical condition where tissue similar to the lining of the womb grows outside the uterus, often on the ovaries, fallopian tubes and pelvic lining.
Understanding Endometriosis
Endometriosis is a common medical condition where tissue similar to the lining of the womb grows outside the uterus, often on the ovaries, fallopian tubes and pelvic lining.
Its effect varies from person to person. Some people experience pain or difficulty conceiving, while others have few symptoms and may conceive naturally.
How Endometriosis Affects Fertility
Endometriosis can affect fertility in several ways. The impact depends on the location and extent of the condition, ovarian involvement and individual health factors.
Pelvic Inflammation
The condition creates constant inflammation in the pelvis, releasing chemicals that can harm eggs, sperm and early embryos.
Hormonal and Ovulatory Issues
It can disrupt normal ovulation or alter hormone levels, making it harder for a fertilised egg to implant in the uterus.
Lower Egg Quality
Cysts called endometriomas on the ovaries, or chronic inflammation, can affect the overall quality and reserve of the eggs.
Poor Uterine Receptivity
The lining of the womb may become less responsive to progesterone, making it difficult for an embryo to attach and grow.
What This Means For You
Endometriosis does not always mean infertility
Many people with endometriosis conceive naturally. If pregnancy is taking longer than expected, a fertility assessment can help identify whether endometriosis or another factor may be involved and guide suitable next steps.
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