Can endometriosis cause infertility without pain?

Yes—endometriosis can present with little or no pain, and infertility may be the first or only sign. Even when symptoms are subtle, endometriosis can affect fertility through ongoing inflammation, scar tissue (adhesions) that alters pelvic anatomy, and effects on the ovaries and egg quality.

If you’ve been trying to conceive without success, it’s worth considering endometriosis as a potential contributor rather than accepting an “unexplained” label. Our team can help evaluate your history, imaging, and fertility timeline to assess whether endometriosis is likely and what next steps—including surgical evaluation and treatment—may make sense for your goals. If you’re ready, you can reach out to schedule a consultation with us.