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Do endometriosis and adenomyosis affect fertility?


Endometriosis and adenomyosis can both make it harder to conceive, but the “why” can differ from person to person. These conditions may affect fertility through inflammation, scarring/adhesions, ovarian involvement, or changes to the uterus that can interfere with implantation and pregnancy.
Treatment can also influence fertility planning. When appropriate, fertility-sparing excision surgery may improve the chances of pregnancy for some patients by removing disease and restoring anatomy, and some patients may still benefit from assisted reproductive technologies such as IVF depending on age, ovarian reserve, and the extent of disease. Our team can help you understand what’s most likely driving fertility challenges in your case and outline a plan that aligns with your goals—whether that’s trying soon, preserving options, or preparing for fertility treatment.
Struggling to Conceive?
Endometriosis and adenomyosis can impact your fertility in different ways. Our specialists offer personalized treatments, including fertility-sparing surgery and support with assisted reproductive options.
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How Endometriosis Contributes to Infertility
How endometriosis leads to infertility: pathogenesis; effects on gametes, tubes, and endometrium; and treatments—expectant care, surgery, and ART.

Fertility-Sparing Treatment for Adenomyosis: Pregnancy Chances, Symptom Relief, and Pregnancy Risks
Weigh pregnancy chances, symptom relief, and risks after fertility-sparing adenomyosis treatment. Compare adenomyomectomy vs HIFU, RFA, UAE—when to add hormones
Related Pages
Endometriosis
Endometriosis isn't just one disease — it's many. Our team tailors our approach to your unique condition, using evidence-based integrative support and world-class excision for lasting results.
Adenomyosis
Often missed or not considered, adenomyosis causes heavy bleeding, pain, and fertility challenges. Here’s how we diagnose and treat it.
Surgery & Advanced Excision
World-class robotic excision surgery by a quadruple board-certified surgeon. Precision matters—and your future depends on it.

