Endometriosis is one of the most common yet misunderstood causes of infertility among women. Many couples seeking help from the best IVF doctor in Pune or looking for the best IVF specialist in Pune often discover that endometriosis plays a major role in their difficulty conceiving.
In this blog, Dr. Supriya Puranik, Senior Obstetrician, Gynecologist, and IVF Consultant at Momstory, Pune, explains how endometriosis affects fertility, how it is diagnosed, and what treatment options can help you conceive successfully.
Momstory is recognized for its expert team, advanced IVF care, and trusted top IVF doctors in Pune, making it a preferred destination for couples planning their parenthood journey.
What Is Endometriosis?
Inside the uterus, there is a lining called the endometrium. Its function is to thicken every month in preparation for pregnancy, and if pregnancy does not occur, it sheds during periods.
In endometriosis, this endometrial-like tissue grows outside the uterus, commonly on:
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Ovaries
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Pelvic walls
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Intestines
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Bladder
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Back of the uterus
Because this tissue behaves like normal endometrium, it bleeds every month, causing inflammation, pain, and internal complications.
Over time, this leads to:
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Adhesions (internal sticking of organs)
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Disturbed anatomical structure
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Impaired reproductive function
Why Does Endometriosis Reduce Fertility?
According to Dr. Supriya Puranik, endometriosis can affect fertility in several ways:
1. Internal Bleeding & Adhesions
Repeated internal bleeding leads to adhesions that may block the fallopian tubes. This prevents the egg and sperm from meeting, making natural conception difficult.
2. Inflammation (Internal Swelling)
Inflammation inside the pelvis affects:
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Proper ovulation
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Egg release
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Embryo implantation
This reduces the chances of pregnancy naturally.
3. Poor Egg Quality
In moderate to severe endometriosis (Stage 3 or Stage 4):
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Egg quality drops
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Hormones become imbalanced
This reduces fertility and often requires medical intervention.
Can You Conceive Naturally With Endometriosis?
Yes—not every case of endometriosis causes infertility.
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Mild endometriosis: With early treatment, many women can conceive naturally.
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Severe endometriosis (Stage 3–4): Chances of natural conception are low; assisted reproductive techniques such as IVF may be required.
This is why timely evaluation by the best gynecologist in Pune or a top IVF doctor in Pune is important to plan treatment effectively.
How Is Endometriosis Diagnosed?
Diagnosis depends on the severity and location of the condition.
1. Sonography (Ultrasound)
Useful when endometriosis affects the ovaries, such as in the form of endometriotic cysts (endometriomas).
2. Laparoscopy
When endometriosis occurs on:
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Pelvic walls
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Intestines
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Bladder
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Back of the uterus
…it does not show on ultrasound.
Laparoscopy becomes the only definitive diagnostic tool.
Treatment Options for Endometriosis
1. Symptom Management
If symptoms include:
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Pain during periods
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Pain during intercourse (dyspareunia)
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Infertility
Medication or hormonal therapy may help reduce discomfort.
2. Fertility-Enhancing Laparoscopic Surgery
Laparoscopy can:
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Remove endometriotic cysts on ovaries
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Remove deposits behind the uterus
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Cauterize endometriotic spots in the pelvis
This helps improve fertility in many women.
3. Assisted Reproductive Technology (ART)
If natural conception does not occur even after treatment, IVF becomes the recommended option.
Women with severe endometriosis often achieve pregnancy through IVF under guidance from the best IVF specialist in Pune or experienced fertility doctors like Dr. Supriya Puranik.
Living With Endometriosis: What Couples Should Know
Endometriosis is not a condition to fear.
Early diagnosis, expert treatment, and emotional support can significantly improve the chances of pregnancy.
Momstory Shivaji Nagar, Pune, encourages couples to:
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Seek timely treatment
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Understand their fertility options
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Connect with support groups for emotional strength
If you have concerns about fertility or endometriosis, consult Dr. Supriya Puranik at Momstory, where advanced treatment and compassionate care come together.
