Chance of pregnancy with endometriosis

Written by Du Rui Xia
Obstetrics
Updated on March 26, 2025
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When suffering from endometriosis, the likelihood of pregnancy in women decreases, with the chance of getting pregnant naturally being around 50%. The occurrence of endometriosis can lead to extensive adhesions in pelvic tissues and organs, hardening and stiffness of the fallopian tubes, affecting the movement of the fallopian tubes, thereby affecting the transport of eggs and fertilized eggs by the fallopian tubes.

Severe adhesions around the fallopian tubes can also affect the release of eggs. Therefore, it is recommended to actively seek treatment for endometriosis before trying to conceive, which can be done through medication or surgical treatment.

(The use of medication should be under the guidance of a doctor.)

Other Voices

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Written by Xu Xiao Ming
Obstetrics and Gynecology
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What tests are done for endometriosis?

For patients with endometriosis, it is recommended that you undergo a gynecological ultrasound examination to observe the condition of the ectopic endometrial tissue in the pelvic cavity, whether it is present on the uterus or ovaries, and whether it has grown on the abdominal wall. Therefore, it is advised to have a gynecological ultrasound examination and a gynecological exam. Patients with endometriosis can also have a blood test for tumor markers. If you wish to undergo additional tests, you can also have a cervical cancer screening, which is also possible. The main recommendations are the first three: the gynecological exam, gynecological ultrasound, and tumor marker tests. These examinations are advisable. If the endometriosis is very severe and the pain is quite intense, treatment may be necessary.

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Written by Yue Hua
Obstetrics and Gynecology
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Is endometriosis serious?

Endometriosis is a condition where the endometrium, which normally lines the uterus and has growth potential, is found outside of the uterine cavity, commonly in the ovaries. The typical clinical manifestation of endometriosis is abdominal pain during menstruation. Such pain intensifies as the condition progresses and can ultimately impact the patient's work and daily life, to the extent that they may not be able to work normally. Thus, endometriosis can become quite severe over time and may lead to infertility in women who wish to conceive.

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Written by Shen Li Wen
Obstetrics and Gynecology
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Does endometriosis hurt?

When a woman has endometriosis, she rarely experiences pain outside of her menstrual period, except in specific circumstances, such as during intercourse, where contact might be made with the ectopic endometrial lesions, causing severe pain, also known as dyspareunia. During menstruation, because the ectopic endometrial tissue is still active, it can undergo congestion, edema, rupture, and bleeding, leading to severe dysmenorrhea. Additionally, during the menstrual period, it can also cause an increase in prostaglandin secretion within the uterine cavity, enhancing the uterus's excitability, leading to dysmenorrhea.

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Written by Zhang Lu
Obstetrics
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Causes of Infertility in Endometriosis

Endometriosis is a common gynecological disease that severely troubles women's daily lives. Besides causing painful menstruation, endometriosis is also a common cause of infertility. The reasons for infertility caused by endometriosis include the following aspects: First, endometriosis often leads to the formation of chocolate cysts on the ovaries, which can affect ovarian function and cause impaired ovarian function. Second, endometriosis can sometimes affect the function of the fallopian tubes, causing adhesions in the fallopian tubes. This may result in difficulties in egg pickup, preventing the sperm and egg from meeting and forming a fertilized egg in the fallopian tubes, leading to infertility.

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Written by Shen Li Wen
Obstetrics and Gynecology
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Endometriosis has several manifestations.

When women suffer from endometriosis, the clinical manifestations can vary depending on the specific location of the ectopic endometrial tissue, but there are some commonalities. A major symptom is pain related to menstruation, such as dysmenorrhea. For example, ovarian chocolate cysts can cause progressively worsening dysmenorrhea and affect the amount of menstrual flow; issues like increased menstrual volume and prolonged menstrual periods can also occur, and some women may experience pain during intercourse. Endometriosis often leads to the occurrence of pelvic adhesions, so some women may also experience chronic pelvic pain. When endometrial tissue is located on the ovaries, it can affect normal ovulation and hormone secretion, leading to irregular menstrual cycles and infertility.