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Endometriosis · 5 min read

Endometriosis and fertility: can you get pregnant?

Endometriosis can affect fertility, but many women with it conceive naturally. Here's how it can impact getting pregnant and what options exist.

Dr Priya RamanUpdated July 2026
Medically reviewed by Dr Priya Raman, AHPRA-registered GP — Last reviewed July 2026
Endometriosis and fertility: can you get pregnant?

How endometriosis can affect fertility

Endometriosis can make conceiving harder for some women. Inflammation and scarring can affect the ovaries, fallopian tubes and pelvic environment, and in some cases distort the anatomy. The effect ranges from none at all to significant, depending on where the endometriosis is and how extensive it is.

It's important to know that many women with endometriosis conceive naturally and have healthy pregnancies. A diagnosis doesn't mean you can't have children.

What can help

If you have endometriosis and are trying to conceive, timing matters — it's worth seeing a GP sooner rather than later, especially if you're over 35 or have been trying for a while. They can arrange initial fertility checks for you and your partner.

Depending on your situation, options may include surgical treatment of endometriosis (which can improve fertility in some cases), ovulation tracking and support, or referral to a fertility specialist. Assisted reproduction such as IVF is effective for many women with endometriosis-related infertility.

Making a plan

Because endometriosis and fertility are so individual, a tailored plan is key. A GP can help you understand your particular situation, coordinate investigations, manage pain in the meantime, and refer you on if specialist care is needed.

If you're planning a pregnancy and have (or suspect) endometriosis, a telehealth consult is a practical first step to map out your options and timing.

Related condition

Endometriosis

References & sources

This content is general information and not a substitute for individual medical advice. Please consult a GP for your personal situation.

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