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Endometriosis and fertility

Endometriosis may impact your fertility and plans to become pregnant.

Research suggests women with endometriosis are twice as likely to experience infertility as those without the condition. But not all people with endometriosis have trouble getting pregnant.

If you feel worried or depressed about having endometriosis and fertility problems, talk to your doctor, counsellor or psychologist. They can help you understand the diagnosis and your options, such as fertility treatment.

On this page you’ll find information about fertility treatment and how pregnancy may impact symptoms of endometriosis.

Topics on this page

Fertility treatment

If you have endometriosis-related infertility, it’s recommended you work with a team of health professionals with a special interest in fertility and endometriosis. They may suggest keyhole surgery (laparoscopy) to remove endometriosis lesions or cysts and improve your chance of pregnancy. This might be more effective if you have minimal to mild endometriosis.

If you still find it hard to get pregnant after surgery, you can talk to your doctor about other options. For example:

  • the Endometriosis Fertility Index (EFI) – to help predict natural or assisted pregnancy
  • in vitro fertilisation (IVF) – if your gynaecologist has assessed your endometriosis and recommends the treatment.

If you decide to try fertility treatment, it’s important to get support. Most IVF units have counsellors who will support you throughout the assessment and treatment process. Counselling before fertility treatment can help you to:

  • prepare for the emotional journey ahead
  • discuss your feelings
  • cope with any unsuccessful treatments or miscarriages
  • cope with other people's pregnancies and births.

Does pregnancy cure endometriosis?

There is little evidence to show that pregnancy reduces or stops symptoms of endometriosis.

Some women have fewer symptoms during pregnancy, but symptoms usually return after giving birth. So, it’s important to continue with medical care for endometriosis after the baby is born.

Read Melissa’s story about the pain and frustration that comes with having endometriosis.

This con­tent has been reviewed by a group of med­ical sub­ject mat­ter experts, in accor­dance with Jean Hailes pol­i­cy.

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Giudice LC, Kao LC. Endometriosis. Lancet. 2004 Nov 13-19;364(9447):1789-99. doi: 10.1016/S0140-6736(04)17403-5
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Counsellor VS. Endometriosis. A clinical and surgical review. Am J Obstet Gynecol. 1938;36:877
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Maheux-Lacroix S, Nesbitt-Hawes E, Deans R, et al. Endometriosis fertility index predicts live births following surgical resection of moderate and severe endometriosis. Human Reproduction. 2017;32(11):2243-2249. doi:10.1093/humrep/dex291
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Leone Roberti Maggiore U, Ferrero S, Mangili G, et al. A systematic review on endometriosis during pregnancy: diagnosis, misdiagnosis, complications and outcomes. Hum Reprod Update. 2016;22(1):70-103. doi:10.1093/humupd/dmv045
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Horne AW, Missmer SA. Pathophysiology, diagnosis, and management of endometriosis. BMJ. 2022;379:e070750. doi:10.1136/bmj-2022-070750
Last updated: 
02 October 2025
 | 
Last reviewed: 
31 March 2025

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