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Do endometriosis and adenomyosis affect fertility?
Endometriosis and adenomyosis can both make it harder to conceive, but the “why” can differ from person to person. These conditions may affect fertility through inflammation, scarring/adhesions, ovarian involvement, or changes to the uterus that can interfere with implantation and pregnancy.
Treatment can also influence fertility planning. When appropriate, fertility-sparing excision surgery may improve the chances of pregnancy for some patients by removing disease and restoring anatomy, and some patients may still benefit from assisted reproductive technologies such as IVF depending on age, ovarian reserve, and the extent of disease. Our team can help you understand what’s most likely driving fertility challenges in your case and outline a plan that aligns with your goals—whether that’s trying soon, preserving options, or preparing for fertility treatment.

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How Endometriosis Contributes to Infertility
How endometriosis leads to infertility: pathogenesis; effects on gametes, tubes, and endometrium; and treatments—expectant care, surgery, and ART.

Endometriosis and Adenomyosis: How They Drive Pelvic Pain
Compare endometriosis and adenomyosis: similarities, differences in location and prevalence, diagnosis methods, and treatment options for pelvic pain.

Fertility-Sparing Treatment for Adenomyosis: Pregnancy Chances, Symptom Relief, and Pregnancy Risks
Weigh pregnancy chances, symptom relief, and risks after fertility-sparing adenomyosis treatment. Compare adenomyomectomy vs HIFU, RFA, UAE—when to add hormones
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