Can endometriosis surgery improve my chances of conceiving?

Excision surgery can improve the chances of conceiving for some patients with endometriosis, particularly when removing superficial disease helps restore more normal pelvic anatomy and reduces inflammatory burden. In those situations, surgery may increase the likelihood of spontaneous pregnancy, though outcomes vary based on what we find and remove at surgery.

For deep disease or ovarian endometriomas, surgery can also improve symptoms and pelvic anatomy, but it requires a careful, individualized plan because operating on the ovaries can affect ovarian reserve. We tailor recommendations to your goals and timeline—whether you’re trying to conceive now, planning future pregnancy, or considering fertility preservation—so the surgical approach supports your reproductive priorities. If you’re weighing surgery for fertility, our team can review your history and imaging and help you understand the potential benefits and tradeoffs in your specific case.