Endometriosis Beyond Pain: Its Quiet
Impact on Fertility
Endometriosis is widely associated with pain, but many women with mild or silent disease face fertility challenges.
What Is Endometriosis?
It’s when endometrial-like tissue grows outside the uterus, leading to inflammation, adhesions, hormonal shifts, and sometimes reduced egg quality or tubal function.
How It Affects Fertility
It can inflame the pelvis, impair the tubes, lower ovarian reserve (especially with endometriomas), alter hormones, and affect implantation.
When to Suspect It
Painful periods, painful sex, bloating, pelvic pain, unexplained infertility, or family history. Still, some women have no symptoms at all.
Diagnosis and Management
Assessment includes history, ultrasound, MRI, and occasionally laparoscopy. Treatment depends on reserve, severity, and goals—ranging from surgery to IUI or IVF.
Key takeaway: Endometriosis affects far more than pain. Early recognition helps protect fertility and plan effective treatments.
