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Does endometriosis increase miscarriage risk?
Yes—endometriosis is associated with a modest increase in miscarriage risk, particularly in the first trimester. Across large pooled studies, the increase is usually described as a relative risk around 1.2–1.7, and it can vary depending on factors like whether pregnancy occurs spontaneously or with fertility treatment.
Even with that increase, most pregnancies in people with endometriosis are successful. What matters most for an individual person is their full picture—age, prior pregnancy history, and whether adenomyosis or other uterine factors are also present. If you’ve had losses or are planning pregnancy and want an individualized assessment, our team can review your history and imaging and discuss what this risk may mean for you and what options may help support your goals.

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Endometriosis and Miscarriage: What Research Suggests
Learn how endometriosis may affect miscarriage risk, the roles of inflammation, hormones, and surgery, what current studies show, and ways to manage fertility.

Endometriosis And Preeclampsia What You Should Know
Learn how endometriosis and adenomyosis may affect preeclampsia risk during pregnancy. Get informed for a healthier journey.

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

How Endometriosis Contributes to Infertility
How endometriosis leads to infertility: pathogenesis; effects on gametes, tubes, and endometrium; and treatments—expectant care, surgery, and ART.
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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.
Related Conditions
Many conditions mimic, worsen, or coexist with endometriosis. We look deeper, so that nothing important is missed.
Evaluation & Diagnosis
At the Lotus Endometriosis Institute, evaluation begins with listening. Our diagnostic process uncovers the true source of pain and related conditions often missed elsewhere.
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