London Women's Clinic
4.5

Getting Started

Endometriosis and Fertility

For many people, an endometriosis diagnosis can immediately raise questions about fertility, often after years of painful and frustrating searching for answers. The condition can affect fertility in a number of ways, including through inflammation, scarring and its impact on the ovaries and fallopian tubes. Our experienced specialists offer personalised fertility treatment for those living with endometriosis with the expertise and support to help you understand your options and move forward with confidence.

Book a fertility health assessment

What is Endometriosis?

Endometriosis is a condition where tissue similar to the lining of the uterus grows outside the womb. This commonly affects the pelvic ligaments and surrounding soft tissue, such as the uterosacral ligaments, as well as organs like the ovaries, fallopian tubes and pelvic lining.

This tissue responds to hormonal changes each cycle, which can lead to inflammation, scar tissue and cysts, known as endometriomas.

Endometriosis Symptoms

Endometriosis affects approximately 1 in 10 women of reproductive age in the UK, yet it takes on average eight years to receive a diagnosis.

If you recognise the following endometriosis symptoms but you haven't yet been investigated, seeking specialist support early can make a significant difference.

Common symptoms of endometriosis include:

  • Painful or heavy periods
  • Pelvic or lower back pain
  • Pain during sex
  • Difficulty conceiving
  • Fatigue or digestive discomfort

What Causes Endometriosis?

While the exact cause of endometriosis is unknown and not fully understood, contributing factors are thought to include genetics, immune response and hormonal balance. Endometriosis is often described in four stages – minimal, mild, moderate and severe – based on the extent and location of disease. However, the stage of endometriosis does not necessarily reflect symptom severity. Some people with minimal disease experience significant pain, while others with more advanced endometriosis may have few or no symptoms.

People often live with symptoms for a long time before seeking and receiving clear answers or support. While scans and symptoms can strongly suggest endometriosis, the only way to confirm a diagnosis is through laparoscopy, a surgical procedure. For some people, reaching this point can feel frustrating or prolonged, which is why seeking specialist care early is so important.

women talking and smiling

Endometriosis Fertility Treatment Options

The right treatment pathway for endometriosis depends entirely on your symptoms, the severity of your condition and your reproductive goals. Your specialist will guide you toward the most appropriate approach based on your individual circumstances. In some cases – particularly where endometriosis is more severe – surgical assessment or treatment such as laparoscopy may be recommended before fertility treatment. This can help clarify the extent of disease, relieve symptoms and, for some patients, improve fertility outcomes prior to starting assisted treatment.

IVF

Expert IVF care with personalised support at every step. Discover how we can help you on your journey.

business woman walking outside an office

Fertility Preservation

Egg, embryo and sperm freezing give you flexibility for the future, with expert care, so you can plan with reassurance.

hands holding child

Investigating Infertility

Begin your fertility journey with personalised assessments and guidance, helping you understand your options clearly so you can move forward with confidence.

woman smiling

Egg Freezing

Egg freezing allows you to preserve your eggs now for possible use in the future, giving you more options at a time that feels right for you. With over 58,000 eggs frozen since 2008 and a 15-year study behind us, it's a step we're experienced in supporting.

Fertility Care for Endometriosis 

Our approach combines advanced diagnostics, tailored treatments and ongoing support.

Book a fertility health assessment
Step 1

Every patient receives an individual plan based on symptoms, fertility goals, medical history and test results.

Step 2

We use evidence-based approaches to treat endometriosis-related fertility issues, including IVF protocols designed for endometriosis patients.

Step 3

From your first consultation through to treatment and aftercare, our team provides clear guidance, compassionate care and ongoing support at every stage.

Endometriosis & Fertility FAQs

IVF does not typically worsen endometriosis, and treatment protocols are carefully tailored to minimise flare-ups or overstimulation. If endometriomas are present, your clinical team will take extra care during egg collection and may recommend antibiotics as a precaution to reduce the risk of infection. For many women with endometriosis, IVF remains a safe and effective option.

Yes, many women with endometriosis conceive naturally. Others may need support depending on how the condition affects ovulation, inflammation or pelvic anatomy.

Common early signs include painful periods, pelvic pain, pain during sex, heavy bleeding, bowel or bladder discomfort and difficulty conceiving. Symptoms vary widely and can develop gradually.

Fertility is often considered most optimal in the late 20s to early 30s, though many women with endometriosis conceive later too. The right approach depends on your symptoms, stage of endometriosis and overall reproductive health. A fertility assessment can help you plan based on your individual circumstances.

READY TO BEGIN your JOURNEY?

Worried about fertility with endometriosis? Our team can help you explore the next steps and personalised options for your journey.

Contact us

0207 563 4309 info@londonwomensclinic.com

Upcoming Fertility Events

Stay informed about the latest seminars, webinars and workshops on fertility and Endometriosis.

Fertility Treatment Options: Guildford Open Evening

Fertility Treatment Options: Guildford Open Evening

Join us at our clinic to learn about our services, have a mini consultation and gain access to exclusive discounts!

Q&A with our Fertility Nurse Consultant: Understanding Egg Freezing

Q&A with our Fertility Nurse Consultant: Understanding Egg Freezing

Join us for a webinar where you can have all your questions about egg freezing answered by our Specialist Fertility Nurse Consultant

Fertility Treatment Options: Brighton Open Evening

Fertility Treatment Options: Brighton Open Evening

This free event is a great opportunity to learn about our fertility services, visit our Brighton clinic and have a mini consultation!

Fertility Treatment Options: Bromley Open Day

Fertility Treatment Options: Bromley Open Day

This free event is a great opportunity to learn about our fertility services, visit our Bromley clinic and have a mini consultation!

Fertility Treatment Options: Tunbridge Wells Open Day

Fertility Treatment Options: Tunbridge Wells Open Day

Explore fertility treatment options at our Tunbridge Wells Open Day with expert guidance, a clinic tour and a free mini consultation.

Fertility Treatment Options: Brighton Open Day

Fertility Treatment Options: Brighton Open Day

Meet our Brighton fertility specialists, tour the clinic and get personalised guidance in a free mini consultation.

Can’t Attend? Stay Connected

Download our Fertility Guide or sign up for our newsletter to stay updated on the latest events and fertility insights about Endometriosis.

Download Guide Sign up for our newsletter

Endometriosis Stories, Advice and Research

Explore expert insights, personal stories and the latest research to guide you through every step of your Endometriosis journey.

IVF: A Public Good Alongside Vaccines & Penicillin

IVF: A Public Good Alongside Vaccines & Penicillin

Learn how IVF, celebrated alongside vaccines and penicillin, creates life, transforms families and stands as a global public good in fertility care.

Sir Robert Edwards at 100: Celebrating the First Polymath in Reproductive Medicine

Sir Robert Edwards at 100: Celebrating the First Polymath in Reproductive Medicine

Explore how Sir Robert Edwards’s pioneering IVF work and polymathic vision transformed reproductive medicine and gave hope to families worldwide.

Safe, Secure and Regulated Egg Freezing at London Women’s Clinic

Safe, Secure and Regulated Egg Freezing at London Women’s Clinic

Discover safe, secure and regulated egg freezing in London. Learn about 55-year storage, expert care and how we protect your fertility future at every stage.

LWC Cambridge: A New Era in IVF and Fertility Care

LWC Cambridge: A New Era in IVF and Fertility Care

Expert IVF, egg freezing & LGBTQIA+ fertility care at LWC Cambridge. Kind iVF & cutting-edge treatments in the birthplace of IVF.

What’s New in Fertility? Insights from the Latest HFEA Trends Report

What’s New in Fertility? Insights from the Latest HFEA Trends Report

Discover the latest fertility statistics and treatment trends in the UK with key insights from the HFEA Trends Report. See what's changing in fertility care.

IVF Equality: Why It Matters and What Needs to Change

IVF Equality: Why It Matters and What Needs to Change

London Women’s Clinic has long been a strong, proactive force in inclusive fertility care - welcoming patients from all backgrounds and family structures. As pioneers in LGBTQIA+ fertility since the 1990s, we’ve partnered with DIVA to support the new IVF Equality Manifesto - a call to ensure that fertility care across the UK is fair, inclusive and supportive for all. We understand that no two families are the same.