Endometriosis and Fertility: Symptoms, Assessment and Treatment Discussions
How endometrial-like tissue outside the uterus impacts fertility, pelvic health, and reproductive options.
Reviewed by Dr. Dileep Kumar H R, MBBS, DGO, DRM
October 2026 · Evidence-Based Healthcare
Endometriosis occurs when tissue similar to the lining of the uterus grows outside the uterine cavity — commonly on the ovaries, fallopian tubes, outer uterine surface, and pelvic peritoneum.
This tissue responds to cyclic hormonal fluctuations, leading to chronic inflammation, scarring, pelvic adhesions, and ovarian endometrioma cysts ('chocolate cysts').
Common symptoms include severe dysmenorrhea (painful periods), deep dyspareunia (pain with intercourse), chronic pelvic pain, and difficulty conceiving.
Endometriosis can affect fertility by distorting pelvic anatomy, causing tubal blockages, and generating an inflammatory peritoneal environment that impairs egg quality and fertilization.
Treatment at Srishti Fertility Hospital is personalized: advanced minimally invasive laparoscopy by Dr. Dileep Kumar H R can excise lesions while strictly preserving ovarian tissue, followed by timed conception, IUI, or IVF depending on severity.
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Frequently Asked Questions
Not necessarily. Indiscriminate surgical cystectomy can diminish ovarian reserve by removing healthy surrounding ovarian cortex. Surgery is carefully weighed against direct IVF based on cyst size, pain symptoms, and AMH levels.