Can I freeze eggs if I have an ovarian endometrioma?

Yes—many people can still pursue egg freezing with an ovarian endometrioma present, but the plan should be individualized. An endometrioma can make monitoring and egg retrieval more technically challenging and may affect follicle count in the affected ovary, so we often look at both overall ovarian reserve (like AMH) and ovary-by-ovary ultrasound follicle count (AFC) to understand what’s really going on.

Whether to leave the cyst alone, treat it first, or consider surgery depends on factors like cyst size, symptoms, access for the retrieval needle, prior ovarian surgery, and your reserve goals. Traditional cyst removal can relieve symptoms but may carry a higher risk of impacting healthy ovarian tissue, while minimally invasive options like ethanol sclerotherapy may be considered in select cases when preserving ovarian reserve is a priority—though recurrence risk and technique details matter. If you’re weighing egg freezing with an endometrioma, our team can review your imaging and fertility timeline and help you choose a strategy that protects both your comfort now and your options later.