If you have been diagnosed with endometriosis and are thinking about starting a family or are already pregnant, you might be feeling a mix of hope, confusion, and a little anxiety. That is completely normal. Let’s just say endometriosis is not the easiest condition to deal with, especially when baby plans enter the picture. But yes, it is possible to get pregnant with endometriosis.
Sure, it might take a bit more time and guidance, but with the right support, many women have healthy, full-term pregnancies. But there are a few things worth knowing before and during the journey. So, let’s walk you through what you really need to know.
First, What is Endometriosis Again?
If you are already living with it, you probably know the basics. But just to recap: endometriosis happens when tissue similar to the lining of your uterus grows outside the uterus, often on your ovaries, fallopian tubes, or even nearby organs like the bladder.
It can cause symptoms like:
- Painful periods
- Pelvic discomfort
- Heavy bleeding
- Digestive issues
- And yes, difficulty conceiving
Why? Because endometriosis can:
- Cause inflammation and scarring
- Affect how your ovaries release eggs
- Block the fallopian tubes (making egg-meets-sperm difficult)
The problem is that this rogue tissue acts like a normal uterine lining, thickening and bleeding each cycle but with nowhere to go. Over time, this can lead to inflammation, scarring, and adhesions, which can affect your fertility.
Can You Actually Get Pregnant Naturally with Endometriosis?
Yes, many women do. In fact, it is estimated that around 30% to 50% of women with endometriosis may experience some difficulty conceiving. However, that still means a massive number get pregnant without interventions. Here is what usually affects your chances:
- How severe your endometriosis is
- Whether your fallopian tubes are blocked
- If your ovaries are working as they should
- Your age and overall health
Yes, it may take a little more time, effort, and expert help. For those with mild or moderate cases, pregnancy can happen naturally, especially with careful cycle tracking. But if things don’t work after 6–12 months, it is time to talk to a female gynecologist in Kolkata like Dr. Shivanjali Nayak for support and the following steps. Depending on the severity, your doctor might recommend:
- Trying naturally for a few months if you are under 35 and the symptoms are mild
- Laparoscopy to remove endometriosis patches (which can boost fertility)
- Fertility treatments like IUI or IVF, if needed
What If You Are Already Pregnant and Have Endometriosis?
Pregnancy can actually offer some relief from symptoms. Since your menstrual cycle takes a break, many women notice low pain. That being said, endometriosis doesn’t disappear during pregnancy, and some may still experience:
- Pain (especially in early pregnancy)
- Increased risk of complications like preterm birth or placenta issues (though not always)
- More careful monitoring, just to be safe
- Higher chance of cesarean delivery
However, with regular prenatal care and the right medical attention, most women with endometriosis have smooth, healthy pregnancies.
A Few Friendly Tips
- Don’t wait too long to try: Fertility can decline with age, especially with endometriosis.
- Track your ovulation: Apps, ovulation kits, or even ultrasound tracking can help.
- Prioritise your health: Balanced diet, gentle exercise, stress management, all of these matters.
- Don’t delay seeking help: If you have been trying for 6–12 months without success, speak to a gynecologist.
- Find a doctor who listens: This makes all the difference, especially if you are managing pain and emotions alongside fertility.
Conclusion
Endometriosis doesn’t mean the end of your motherhood journey. With early support, personalised care, and a little patience, pregnancy is absolutely possible. Looking for a doctor who truly understands women’s health? Whether you are just starting to plan or are already expecting, Dr. Shivanjali Nayak, a compassionate female gynecologist in Kolkata, brings empathy, experience, and personalized care to your journey.