Struggling to Become Pregnant Due to Endometriosis: Time for Surgery or IVF Treatment?

by Anthi Stamkopoulou, last updated 24 Jun 2024,

3 min read

Endometriosis is a condition that affects millions of women worldwide, often leading to significant pain and fertility challenges. If you're struggling to conceive due to endometriosis, you're not alone. The journey can be emotionally and physically taxing, but understanding your options can help you make informed decisions about your path to parenthood. Surgery and in vitro fertilization (IVF) are two primary treatments often considered. Let's explore these options to help you determine the best course of action.

Understanding Endometriosis and Its Impact on Fertility

Endometriosis occurs when tissue similar to the lining inside the uterus grows outside of it, causing inflammation, pain, and sometimes scar tissue. This can affect the ovaries, fallopian tubes, and the pelvic lining, leading to fertility issues. The severity of endometriosis varies, and so does its impact on fertility. Some women with mild endometriosis may conceive naturally, while others with more severe forms may need medical intervention.

Option 1: Surgery

Surgical treatment for endometriosis typically involves laparoscopy, a minimally invasive procedure in which a surgeon removes or destroys endometrial tissue. This procedure can help alleviate pain and improve fertility by restoring normal pelvic anatomy.


  • Pain Relief: Surgery can significantly reduce or eliminate pain associated with endometriosis.
  • Improved Fertility: Removing endometrial tissue can enhance your chances of natural conception, especially in mild to moderate endometriosis cases.


  • Recurrence: Endometriosis can recur after surgery, sometimes within a few years.
  • Risks: As with any surgery, there are risks such as infection, bleeding, and damage to surrounding organs.

Option 2: In Vitro Fertilization (IVF)

IVF is a process where eggs are retrieved from the ovaries, fertilized with sperm in a lab, and then implanted into the uterus. This bypasses many of the issues caused by endometriosis, such as blocked fallopian tubes or a hostile pelvic environment.


  • High Success Rates: IVF can be particularly effective for women with endometriosis, especially when other treatments have failed.
  • Controlled Environment: The process is highly regulated, increasing the chances of a successful pregnancy.


  • Cost: IVF can be expensive, and multiple cycles may be needed.
  • Emotional and Physical Strain: The process can be demanding, involving hormone injections, frequent medical visits, and the emotional rollercoaster of waiting for results.

Making the Decision

Choosing between surgery and IVF depends on various factors, including the severity of your endometriosis, your age, overall health, and personal preferences. Consulting with a fertility specialist is crucial to evaluate your situation and discuss the best treatment plan.

If you're struggling with endometriosis and fertility, don't navigate this journey alone. At Newlife IVF Greece, our team of experts is dedicated to providing personalized care and advanced treatment options to help you achieve your dream of parenthood. Contact us today to schedule a consultation and take the first step towards a brighter future. Feel free to contact Newlife IVF Greece for more information and support. We're here to help you every step of the way.

Anthi Stamkopoulou

Anthi Stamkopoulou, MD, MSc

Anthi is an Infertility Specialist at Newlife Center of Reproductive Medicine.

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