Female Infertility

Endometriosis & Fertility

Endometriosis can cause pain and affect fertility — but with the right combination of surgery and IVF, many women with endometriosis go on to have a baby.

Dr. Janki BavishiDr. Janki Bavishi, MBBS, MS (Obstetrics & Gynaecology)Co-director & Obstetrician-Gynaecologist Ahmedabad | Bavishi Fertility Institute
Reproductive Surgery Endometriosis & IVF Since 1998 Compassionate Care
Endometriosis and fertility treatment at Bavishi Fertility Institute
What is Endometriosis

What is Endometriosis?

Endometriosis is a condition where tissue similar to the lining of the uterus grows outside it — on the ovaries, fallopian tubes and pelvic lining. It can cause painful periods, pelvic pain, pain during intercourse and, in many women, difficulty conceiving.

Endometriosis affects fertility in several ways — distorting pelvic anatomy, affecting egg quality and the tubes, and creating inflammation. Treatment is individualised: laparoscopic surgery helps in selected cases, and IVF is often the most effective route to pregnancy.

Dr. Janki Bavishi
Medically Reviewed
Dr. Janki Bavishi, MBBS, MS (Obstetrics & Gynaecology)

Co-director & Obstetrician-Gynaecologist · Obstetrics & Gynaecology

Ahmedabad | Bavishi Fertility Institute

Last medically reviewed on . This page is educational and is not a substitute for personalised medical advice.

Indications

Signs of endometriosis

Endometriosis is suspected from symptoms and confirmed by imaging or laparoscopy.

Painful, heavy periods that disrupt daily life.
Chronic pelvic pain or pain during intercourse.
Difficulty conceiving with no other clear cause.
An ovarian endometrioma (chocolate cyst) on a scan.
A family history of endometriosis.
Advantages

Why specialised endometriosis care helps

Balancing symptom relief, fertility and timing is key.

An accurate diagnosis and staging of the disease.
Fertility-focused decisions on surgery versus going straight to IVF.
Laparoscopic treatment that protects ovarian reserve.
IVF protocols designed for endometriosis.
Relief of pain alongside the fertility plan.
Step by Step

How we treat it

A plan that balances fertility, pain and time.

01

Evaluation

History, examination and ultrasound to assess the disease and reserve.

02

Diagnosis & Staging

Imaging and, where needed, laparoscopy to confirm and stage endometriosis.

03

Laparoscopic Surgery

Careful, fertility-sparing treatment of disease in selected cases.

04

Ovarian-reserve Care

Protecting egg supply, with freezing considered before extensive surgery.

05

IVF

Often the most effective route to pregnancy, with tailored protocols.

We weigh surgery against ovarian reserve carefully — sometimes proceeding straight to IVF is the better choice.
Watch & Learn

Endometriosis and Chocolate Cyst

Dr. Binal Shah explains endometriosis and chocolate cysts — what they are, how they affect fertility and the treatment options available.

Why Bavishi Fertility Institute

Why choose Bavishi Fertility Institute for endometriosis surgery

Trusted Since 1998

30,000+ successful pregnancies and the National Fertility Award six times (2019–2026).

Fertility-Sparing Surgeons

Conservative laparoscopic technique that protects ovarian reserve.

Surgery-or-IVF Judgement

Honest, individualised advice on when surgery helps and when IVF is the better route.

Success & Safety

Real chances, honestly explained

Every fertility journey is unique. Endometriosis success rates depend on several medical and lifestyle factors.

Factors affecting success

  • The stage and extent of endometriosis
  • Ovarian reserve and egg quality
  • Age and tubal status
  • Whether surgery or direct IVF is chosen
  • Partner's sperm quality
At Bavishi Fertility Institute, we focus on personalised treatment plans rather than one-size-fits-all success claims.

Many women with endometriosis conceive, often with IVF. Outcomes depend on stage and other factors and cannot be guaranteed.

Cost & Assurance

Transparent, with no hidden costs

Know exactly what your Endometriosis treatment cost includes before you begin.

  • Specialist consultation and evaluation
  • Required diagnostic tests and monitoring
  • The recommended treatment or procedure
  • Medications as per your protocol
  • Follow-up review and guidance
Exclusive Program

Suraksha Kavach — complete peace of mind.

One of the most trusted IVF protection programme. Reduced financial risk, increased confidence & complete peace of mind.

All Costs Covered
Complete Peace of Mind
Multiple IVF Cycles as Required
Unique Optional Package

* Terms and conditions apply.

Expecting parents — the journey to parenthood, protected
Risks & Considerations

Risks & considerations

Surgery and ovarian reserve

Repeated or extensive ovarian surgery can lower egg reserve.

How We Help: We operate conservatively and may advise IVF or egg freezing first.

Recurrence

Endometriosis can return after treatment.

How We Help: We plan conception within the most favourable window after treatment.

Pain versus fertility goals

The best plan for pain is not always the best for fertility.

How We Help: We tailor the balance to your priorities and timeline.
Our Specialists

Our Endometriosis Specialists

Meet the Bavishi Fertility Institute specialists who treat patients with Endometriosis.

FAQ

Endometriosis — your questions answered

Yes. Many women with endometriosis conceive — naturally in milder cases, and with IVF, which is often the most effective treatment, in more significant disease.

It depends on the stage, your ovarian reserve, pain and age. Sometimes surgery helps; often, especially with reduced reserve, going directly to IVF is better. We advise individually.

It can, and ovarian endometriomas and surgery can reduce egg reserve, which is why we protect the ovaries and sometimes recommend egg freezing.

Yes. IVF bypasses several ways endometriosis affects fertility and is frequently the most successful route to pregnancy.

Treatment often improves pain, though endometriosis can recur. Pain control and fertility are planned together according to your priorities.

This page is for educational purposes and is medically reviewed by Dr. Janki Bavishi, MBBS, MS (Obstetrics & Gynaecology). It is not a substitute for personal medical advice — please consult our doctors for guidance specific to you.

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