How Can You Get Pregnant With Endometriosis – Know Your Best Options

So, you have recently been diagnosed with endometriosis and wish to have a child? You must have heard that endometriosis affects fertility, but can you still get pregnant with endometriosis? Well, the answer is yes – however it might not be that easy. This article will look at what exactly endometriosis is, how it affects fertility and how you can get pregnant with endometriosis. 

Endometriosis is one of the worst conditions that can affect a woman. Not only it causes intense pain, but also adversely affects your fertility. With endometriosis, you can have difficulty conceiving or carry your child to the complete pregnancy term. 

After undergoing laparoscopy for endometriosis, most women wonder if there’s any point in trying to get pregnant or should they choose any effective fertility treatment options for conception. Ask your healthcare provider about what endometriosis does to your body and what you can do about it to choose the best treatment option.

What Is Endometriosis?

Endometriosis is a condition in which the endometrium (the tissue that lines inside of the womb or uterus) grows outside of the uterus. It commonly occurs in the pelvis or the lower abdomen, but it could also occur anywhere else in the body. 

The common symptoms of endometriosis include pain during sexual intercourse, unusual pain or bleeding during menstrual cycles, lower abdominal pain, difficulty getting pregnant, etc. Research suggests that some women with endometriosis don’t experience any symptoms at all. 

In case you experience any of the symptoms of endometriosis, don’t delay consulting a doctor for proper diagnosis and treatment. 

Endometriosis affects nearly five million women in the United States, and many of them belong to their 30’s or 40’s. Studies have found that about 2 out of 5 women who couldn’t get pregnant have endometriosis; it is that common.

What Causes Endometriosis?

The exact cause of endometriosis is unknown. The two known risk factors of endometriosis include menstruation cycles starting before the age of 11 years and prolonged and heavy menstruation, etc could play a significant role These factors include:

  • Genetic factors, as it is more common in people having a family history with the disease
  • Issues with menstrual flow
  • Shorter menstrual cycle
  • Problems with immune system, in which the immune system does not eliminate unwanted tissue
  • Elevated levels of estrogen hormone in the body
  • Alcohol and caffeine consumption 
  • Surgery to the abdominal region, like a cesarean delivery or hysterectomy

Researchers have found some link between some of the following health conditions and endometriosis:

  • Asthma
  • Allergies
  • Some autoimmune diseases
  • Ovarian cancer and breast cancer
  • Chronic fatigue syndrome
  • Sensitivity to some chemicals

How Does Endometriosis Affect Fertility?

Endometriosis can affect your fertility in multiple ways. The number of growths has been strongly associated with your ability to conceive. However, that isn’t always the case. 

The different stages of endometriosis relate to the number of endometrial growths and how they might have distorted or affected a specific region. For instance, severe endometriosis can deform and/or transform the orientation of your pelvic structure. 

Pelvic adhesions could have a direct impact on fertility by diminishing oocyte release in the course of ovulation. Those adhesions also might change the motility of the sperm and diminish the embryo fertilization and transportation.

The stages of infertility include:

  • Stage I (Minimal Endometriosis) – has very few superficial growths
  • Stage II (Mild Endometriosis) – has more and deeper growths
  • Stage III (Moderate Endometriosis) – has several deeper growths and tiny cysts on one or both of your ovaries and filmy adhesions
  • Stage IV (Severe Endometriosis) – has several deeper growths and large cysts on one or both of your ovaries and several dense adhesions

In case you have endometriosis and are trying to conceive, your healthcare provider will ask a few questions during your physical examination. This will help to determine how endometriosis might play a role in your ability to conceive.

How To Increase Your Odds Of Getting Pregnant With Endometriosis?

In some cases, endometriosis is not as severe as it seems, and consistent attempts at natural conception over a period of year or two could work. If it fails, your healthcare provider might prefer to perform a minimally-invasive surgery with laparoscopy to address the condition. Severe endometriosis may demand advanced medical treatments together with the usual surgery itself.

Monitor your thyroid levels

An important step you can consider to improve your fertility and elevate your odds for conception is by having a look at your thyroid levels. Several medical studies have found conclusive links between having endometriosis and a decrease in the levels of thyroid hormone.

In case your thyroid gland is not as active as it should be, you could support it by taking any iodine supplements and thyroid medication recommended by your doctor. These may work as remedial measures to offset your thyroid levels and help revive your health.

Opt for taking fish oils

Generally, using fish-based oils in good quantities is also advised as they directly enhance a woman’s fertility. These oils are extracted from fishes that are free from mercury pollution and are leveled off properly with vitamin E within them, thus keeping them protected from any type of oxidation. 

Endometriosis leads to excessive inflammation in the body, causing intense pain. Fish oil helps minimize this pain and increases the odds of a fertilized egg getting implanted effectively within the uterus. You can start with having about 3g of fish oil regularly. Kindly check with your doctor or gynecologist to further confirm the amount.

Also Read: Ectopic Pregnancy: A Rare, But Life-threatening Condition

Maintain good overall health

Maintaining good overall health works enormously well in enhancing fertility and makes it easier for you to conceive a child. Regular exercising has innumerable benefits, such as reinforcing your bones and muscles by getting them ready to deal with the transformations your body will encounter during pregnancy. 

Your heart also gets a workout, which improves blood circulation, and facilitates toxin removal in a highly effective manner. The endocrine function, which controls the functioning of hormones, is stimulated by exercise and starts working in the way it should. All of these tasks work collectively to help you with the problems surrounding endometriosis.

Avoid using plastics

Plastics have been widely used by us in recent years, invading each of the aspects of our everyday lives. Right from the storage containers, water bottles to the packed food items or groceries purchased from the market, plastics are everywhere. Soft plastic, one of the most popular types of plastics, is really difficult to avoid these days. It incorporates PVC and other phthalates that leave marks of the chemicals in the food that’s stored in them. 

If the chemicals gain access to the body, they end up upsetting the endocrine systems as they work as estrogen-mimicking components and baffles the body into allowing incorrect levels of the hormone. This could result in a variety of conditions, including endometriosis, induces infertility, compromised immune system, asthma, congenital birth defects, etc. 

Avoiding plastics may seem like a thing next to impossible. However, take adequate measures to keep plastic use to a minimum to prevent its damaging health effects. 

Does Endometriosis Increase Your Risk For Miscarriage?

Many women wonder if suffering from endometriosis increases their risk for miscarriage. Researchers have found a link between the two. However, the link between miscarriages and endometriosis has only been present in women who have had endometriosis-induced infertility problems. 

If women could effectively conceive in spite of suffering from endometriosis, then their odds of having a miscarriage are negligible.


Many women with endometriosis can get pregnant, however some may face difficulty in conceiving. The tips mentioned in this blog will help you get pregnant naturally with endometriosis.


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Natasha Patel

Natasha Patel is the senior writer for the women’s health edition at She worked as a primary care provider before joining the writer’s panel of the blog. She is also trained in routine obstetrics and continues to practice in Oklahoma, where she lives with her family.