Skip to main content
Lotus Endometriosis Institute solid color logo

You are evaluating treatment options

Does endometriosis increase miscarriage risk?

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

Yes—endometriosis is associated with a modest increase in miscarriage risk, particularly in the first trimester. Across large pooled studies, the increase is usually described as a relative risk around 1.2–1.7, and it can vary depending on factors like whether pregnancy occurs spontaneously or with fertility treatment.


Even with that increase, most pregnancies in people with endometriosis are successful. What matters most for an individual person is their full picture—age, prior pregnancy history, and whether adenomyosis or other uterine factors are also present. If you’ve had losses or are planning pregnancy and want an individualized assessment, our team can review your history and imaging and discuss what this risk may mean for you and what options may help support your goals.

Worried About Miscarriage Risks?

Endometriosis can slightly raise miscarriage risk, but many pregnancies succeed. Our specialists can guide you through personalized fertility care and support your journey.

Schedule Your Appointment

Reach Out

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.

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