Endometriosis is a relatively common condition which causes infertility, yet such few people know about it. In this blog, we try to explain what you should know if you have endometriosis.
Walking into a fertility clinic makes it real. You're no longer "just trying"—you're officially someone who needs help getting pregnant. That shift can hit hard. You might cry. You might feel relieved. You might feel angry that you're here at all. You might feel hope for the first time in months. All of this is okay. If you find yourself overwhelmed, tell your care team. Good clinics have counselors or can refer you to therapists who specialize in fertility issues.
“Your periods are supposed to hurt.” “It’s just part of being a woman.” “Try some painkillers.”
If you’ve heard this about your severe period pain, you might have endometriosis – and it could be affecting your fertility more than you realize.
What is Endometriosis?
Your uterine lining is growing where it shouldn’t – on your ovaries, tubes, and other organs. Every month during your period, this misplaced tissue bleeds and swells with nowhere to go.
Think of it like internal bleeding that creates scar tissue, inflammation, and can literally glue your organs together. Your reproductive system becomes a battlefield.
The Real Symptoms
- This isn’t “normal” period pain:
- Periods that stop you in your tracks – missing work, canceling plans, unable to function
- Pain during sex – deep, stabbing pain that makes intimacy impossible
- Chronic pelvic pain – even when you’re not on your period
- Heavy, flooding periods – soaking through super tampons in an hour
- Exhaustion that never goes away – chronic inflammation drains your energy
The cruel truth: Many doctors dismiss this as “normal” women’s pain.
How it affects your fertility
Endometriosis attacks your fertility on multiple fronts:
- Blocked tubes. Scar tissue prevents eggs from meeting sperm or reaching your uterus.
- Damaged eggs. Inflammation creates a toxic environment that harms egg quality.
- Stuck organs. Adhesions glue your ovaries to other organs, disrupting ovulation.
- Hostile environment. Embryos can’t implant or grow in the inflammatory chaos.
- Fewer eggs. Endometriosis damages healthy ovarian tissue, especially with “chocolate cysts.”
The bottom line: 30-50% of women with endometriosis have fertility problems. But having it doesn’t mean you can’t get pregnant – it just means you need the right help.
Treatment That Actually Works
Mild endometriosis: Often responds to ovulation drugs or IUI. Sometimes just proper timing works.
Moderate disease: Surgery to remove scar tissue can restore fertility. Many women conceive naturally afterward.
Severe endometriosis: IVF bypasses the damaged tubes and hostile environment. Success rates are often excellent.
Chocolate cysts: Need specialized handling – sometimes removed, sometimes worked around depending on your situation.
Surgery might be needed when you have:
- Blocked tubes or severe adhesions
- Large cysts affecting egg quality
- Plans to try naturally before IVF
- Failed IVF cycles due to implantation issues
But surgery isn’t always the answer. Sometimes the risks outweigh benefits, especially with low egg reserves. Ask your doctor about what would work best for you.
Why IVF Works Well for Endometriosis
IVF sidesteps many endometriosis problems:
- Eggs retrieved directly from ovaries (blocked tubes don’t matter)
- Fertilization happens in a clean lab environment
- Best embryos selected and transferred at optimal timing
- Medications can temporarily suppress endometriosis
Many women with endometriosis have excellent IVF success rates.
Don’t wait too long. Endometriosis often worsens over time, and your eggs naturally decline with age. If you want children, get help sooner rather than later.
How Spring Fertility can help you
Get help immediately if you have:
- Diagnosed endometriosis and trying for 6+ months (3+ months if over 35)
- Severe period pain that disrupts your life
- Chocolate cysts found on ultrasound
- Previous endometriosis surgery without pregnancy after 12 months
Early intervention = better outcomes.
Our Mumbai Clinic Approach
We understand endometriosis affects every woman differently:
✅ Complete evaluation of how endometriosis impacts YOUR fertility
✅ Pain management that doesn’t interfere with treatment
✅ Expert surgery when needed, preserving ovarian function
✅ Specialized IVF protocols designed for endometriosis patients
✅ Emotional support for this challenging journey
We don’t just treat the condition – we treat you as a whole person with dreams of building a family.
