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You suspect you may have endometriosis or adenomyosis

Can endometriosis cause infertility without pain?

Topic:Fertility
Affected areas:pelvicabdominalsystemic
An illustrative collage of elements depicting fertility.

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.

Struggling to Conceive? Endometriosis Might Be the Cause

Endometriosis can silently impact fertility without pain. Our specialists evaluate your unique situation to uncover hidden factors and guide your next steps toward parenthood.

Schedule Fertility Consultation

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Have a question?

Lotus Endometriosis Institute provides California-based surgical evaluation and advanced excision care for patients with suspected endometriosis, adenomyosis, complex pelvic pain, and related conditions.


Many patients contact us from outside California to learn whether traveling for in-person evaluation and possible surgery may be appropriate.

Call Us

(424) 255-1340

(805) 920-0909

Fax: (805) 935-4338

Santa Monica, CA

2121 Santa Monica Blvd, Santa Monica, CA 90404

Operating Hours

8:00 am - 5:00 pm
Monday - Friday

Arroyo Grande, CA

154 Traffic Way, Arroyo Grande, CA 93420