Why Endometriosis Can Make It Harder to Conceive
Endometriosis is a condition where tissue similar to the lining of the womb grows outside it, often on the ovaries, fallopian tubes, or pelvis. It can affect fertility in a few ways: scarring that blocks the tubes, cysts on the ovaries, inflammation that makes it harder for an embryo to implant, and in some cases, lower egg quality.
Endometriosis is a factor in up to half of all infertility cases we see. That is one reason we do not treat it as a side issue. If it is there, it is usually part of the main problem, and part of the fix.
Fertility-Enhancing Surgery for Endometriosis
For women with endometriosis who are planning a pregnancy, surgery may play an important role in improving the conditions for natural conception or fertility treatment. At Mayflower, we approach endometriosis surgery with your fertility goals in mind, carefully considering whether surgery is appropriate, what it should aim to achieve, and how it fits into your overall fertility plan.
Fertility-Focused Surgical Approach
Our surgeons use advanced excision techniques to remove endometriosis lesions while addressing the disease comprehensively. The aim is not simply to treat the visible disease, but to improve pelvic anatomy and function while keeping future fertility at the centre of surgical decision-making.
Protecting Ovarian Reserve
When surgery involves the ovaries, preserving ovarian tissue and protecting ovarian reserve is an important consideration. Our surgical approach is planned carefully to balance effective treatment of endometriosis with the preservation of your reproductive potential.
Surgery and Fertility Care, Planned Together
Fertility-enhancing surgery does not exist in isolation. Our endometriosis surgeons and fertility specialists work as a multidisciplinary team to understand your fertility goals and determine the most appropriate path forward, whether that means trying to conceive naturally after surgery, proceeding with IVF, or considering other fertility options.
Our Track Record
90%+
Cumulative IVF success rate
8,000+
Surgeries by Dr. Smeet Patel
50%
Of infertility cases involve endometriosis
Meet the Team Behind Your Care
Frequently Asked Questions About Endometriosis and IVF
Not always. It depends on the stage of your endometriosis and your fertility history. Your surgeon and fertility specialist will look at your case together and tell you honestly whether surgery first gives you a better chance, or whether it is safe to go straight to IVF.
Surgery on or near the ovaries can affect your egg reserve, which is why the technique used matters. Our approach is planned to protect your ovarian reserve as much as possible when surgery is needed. Your specialist will talk you through the specific risk for your case before you decide.
Endometriosis is a factor in up to half of the infertility cases we see. It does not mean pregnancy is impossible. It means your treatment plan needs to account for it directly instead of treating your fertility and your endometriosis as two separate problems.
Both, working from the same plan. At Mayflower, our endometriosis surgeons and our IVF team review complex cases together, so you are not repeating your history to two doctors who have never spoken to each other.
Painful periods, pain during sex, or pain that does not add up are worth getting checked, especially if you are also trying to conceive. A scan and a consultation can usually tell us a lot before any surgery is even discussed. Book an appointment and we will start there.
One Team, One Plan for Your Care
If endometriosis is part of your fertility story, you should not have to manage it alone or explain it twice. Come in and let us build one plan around both.