Fertility
When should I consider egg freezing for endometriosis or adenomyosis?
The short answer
Egg freezing is often most helpful if you expect to delay trying for pregnancy because of surgery, recovery, treatment or life timing, or if you’re in your mid-30s or older. Adenomyosis itself typically doesn’t reduce egg supply, but age and coexisting endometriosis can affect fertility.
Adenomyosis itself typically doesn’t reduce egg supply, but age, time, and common coexisting conditions like endometriosis can still affect fertility. If you’re not ready to try for pregnancy soon, protecting future options can be worth considering while you work out the best plan for symptom control and timing.
Egg or embryo freezing is often most helpful when you expect a delay in trying to conceive (due to surgery, recovery, other treatments, or life timing) or if you’re in your mid-30s or older. Our team can help you think through how fertility preservation might fit into your overall plan, including assisted reproduction when appropriate, and coordinate next steps if you’d like to move forward.
Where to go from here
Understand it, compare it with what you're feeling, then talk it through with us.
Step 1 · Understand
Understand the condition
Step 2 · Compare
Symptoms it can relate to
Step 3 · Speak with Us
Protect Your Fertility Now
Don’t wait to consider egg freezing if you’re navigating endometriosis or adenomyosis. Our specialists guide you in preserving your fertility while managing your symptoms and timing.
Questions people ask next
All fertility questionsEgg freezing vs embryo freezing with endometriosis: which is better?
With endometriosis, the better choice usually depends on your sperm source and future plans. Embryo freezing often gives the clearest picture of what you’ve preserved, while egg freezing preserves flexibility if your plans, relationship status, or sperm choice could change.
Can I freeze eggs if I have an ovarian endometrioma?
Yes, many people can still pursue egg freezing with an ovarian endometrioma, but the plan should be individualized. The cyst can make monitoring and retrieval more challenging and may affect follicle count, so cyst size, symptoms and ovarian reserve help guide the plan.
What should I ask about endometriosis-related infertility?
Ask for a plan that specifically evaluates endometriosis or adenomyosis, including imaging, whether your tubes are open, and ovarian reserve. Ask how treatments affect your timeline, when an excision-focused surgical evaluation makes sense, and how pain care can support your fertility goals.
Do endometriosis and adenomyosis affect fertility?
Endometriosis and adenomyosis can both make it harder to conceive, though the reasons can differ from person to person. They may affect fertility through inflammation, scarring, ovarian involvement, or uterine changes that can interfere with implantation and pregnancy.
Further reading
Making a Fertility Plan: Working with Your Endometriosis Care Team
Learn how to create a patient-centered fertility plan with your endometriosis care team, addressing symptoms, treatment, and desired timelines.
Surgery and IVF: When Are They Right for Endometriosis?
Explore when surgery or IVF is best for endometriosis. Understand the decision-making process and what to consider for fertility and health.
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
