When should I freeze eggs with endometriosis?

If you have endometriosis, the right time to freeze eggs is often earlier than you’d like, especially if your symptoms are progressing, you may need ovarian surgery for an endometrioma, or your ovarian reserve testing suggests that timing matters. The decision is less about the diagnosis alone and more about your age, your current fertility goals, and whether your ovaries are likely to be affected by cysts, inflammation, or prior procedures. We look at your personal trajectory, not a generic timeline.

In our practice, we help patients make this decision through a comprehensive, whole-body evaluation and a careful review of prior imaging, operative reports, and fertility-related labs and ultrasound findings. We also focus on identifying endometriosis-plus factors (like PCOS, thyroid dysfunction, tubal issues, male factor, or uterine conditions such as adenomyosis) because these coexisting issues can change how urgent egg freezing feels and which strategy is most protective. If you’re weighing egg freezing vs. surgery or trying to figure out which should come first, reach out to our team. This is exactly the kind of individualized planning we do every day.