Endometriosis is a common, yet often misunderstood condition that can affect fertility. It occurs when tissue similar to the lining of the womb (the endometrium) starts to grow outside the uterus, often around the ovaries, fallopian tubes, or pelvic lining. At Child Fertility, our specialists offer world-class diagnosis and treatment for endometriosis, helping women manage symptoms, protect fertility, and achieve successful pregnancies.
What is Endometriosis?
Endometriosis affects an estimated 10-20% of women of reproductive age. It is a chronic condition, where cells similar to those in the womb lining grow elsewhere in the body. Each month, these cells respond to hormonal changes in the same way as the womb lining; thickening, breaking down, and bleeding. However, because this tissue has no way to leave the body, it can cause inflammation, pain, and scar tissue to form.
The severity of endometriosis can vary greatly. Some women experience severe symptoms, while others have no noticeable signs at all. In many cases, the condition is only discovered during investigations for infertility or pelvic pain.
How do you know if you have Endometriosis?
Symptoms of endometriosis can vary and may overlap with other conditions, which is why expert assessment is essential. Common signs include:
- Pelvic pain, especially in the week or two before and during your period
- Pain during intercourse
- Heavy or irregular periods
- Pain when using the toilet during menstruation
- Fatigue or low energy
- Difficulty conceiving
If you recognise any of these symptoms, it’s important to seek advice. Early diagnosis allows for more effective management and helps protect fertility over time.
At Child Fertility, diagnosis typically involves a detailed medical consultation and history and a pelvic examination and high-resolution ultrasound to detect cysts or scarring. Where appropriate, radiology-based imaging, such as MRI, may be used to provide a more detailed assessment. In some instances, a laparoscopy may be needed to confirm diagnosis. This is a minimally invasive keyhole procedure, during which endometriosis can sometimes also be treated.
Our endometriosis diagnosis and treatments are based on the latest research and clinical practice, ensuring the highest standards of accuracy and care.
Can Endometriosis affect fertility?
Yes, endometriosis can affect fertility in several ways. It may cause inflammation around the reproductive organs, scar tissue that restricts movement of the fallopian tubes or ovaries, or the formation of ovarian cysts. These factors can make it more difficult for the egg and sperm to meet, or for an embryo to implant successfully.
However, many women with endometriosis conceive naturally, and for others, fertility treatments can be very effective. At Child Fertility, we take a comprehensive, personalised approach, focusing not only on symptom relief, but also on optimising egg quality, ovarian function, and implantation potential.
Taking the first step toward understanding your fertility starts with knowledge. Learn more about female reproductive health on our Female Fertility page.
How is Endometriosis treated?
While endometriosis cannot be completely cured, its symptoms and impact on fertility can be managed effectively. The best treatment depends on your individual symptoms, the severity of the condition, and your reproductive goals.
At Child Fertility, your tailored plan may include:
- Medical management – Hormonal treatments to help slow the growth of endometrial tissue and reduce inflammation.
- Surgical treatment – Laparoscopic (keyhole) surgery can be used to remove or destroy endometriosis tissue and adhesions, often improving pain and fertility outcomes.
- Lifestyle and nutritional support – Targeted advice to help manage inflammation and promote hormonal balance.
- Fertility treatment – For those who struggle to conceive naturally, IVF can offer excellent success rates. Our lab techniques and world-leading protocols ensure your embryos receive the highest standard of care.
Every treatment plan is uniquely designed and personally overseen by our Oxford-trained team, ensuring you receive precise, compassionate care and the best possible outcome.
Take the first step
If you’re experiencing pelvic pain, painful periods, or have been trying to conceive without success, we can help.
Our team will guide you through diagnosis and develop a treatment plan that supports both your wellbeing and your future fertility.