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Key information

  • The big question: For many, the first question after diagnosis is, “What does this mean for my fertility?” It is a deeply personal concern, but it is important to separate fear from fact.
  • Endometriosis can affect fertility in specific physical ways:
    • Inflammation: This can make the pelvic area less hospitable for an egg or sperm.
    • Blockages: Scar tissue can sometimes block the fallopian tubes.
    • Cysts: Cysts on the ovaries, known as endometriomas, can play a role.

The most important message

Having endometriosis does not automatically mean you will have fertility problems.

  • The truth: The majority of people with endometriosis will still get pregnant naturally and will not need medical help to conceive.
  • The reality: While it is a factor to be aware of, it is not a definite barrier for most people.

If you need support

For those who do find it takes longer than hoped to conceive, there is a clear and supportive path forward.

  1. Step 1: Talk to us early. We can offer initial advice.
  2. Step 2: Referral to fertility specialists if needed.
  3. Step 3: In some cases, laparoscopic surgery to remove endometriosis tissue can help improve fertility.

What happens next?

If you are concerned about your fertility, or have been trying to conceive without success, please do not worry in silence.

We are here to listen and help you take the next step.



Further information

For more detailed information on endometriosis symptoms, diagnosis and treatment, please visit the NHS website.

Learn more about endometriosis


Last reviewed: 26 December 2025
Next review due: 26 December 2028