Endometriosis, fertility and pregnancy

If you have endometriosis, you’ve probably asked yourself the question, “Will endometriosis affect my ability to get pregnant?”

Endometriosis does not necessarily cause infertility but there is an association with fertility problems, although the cause is not fully established. Even with severe endometriosis, natural conception is still possible.

How does endometriosis impact on fertility?

Endometriosis and the Bowel

Endometriosis can affect the bowel in the abdomen and pelvis. Penetration of the endometriosis can vary within two forms:

  • Superficial – endometriosis is found on the surface of the bowel
  • Deep – endometriosis penetrates the bowel wall.

In some cases, recto-vaginal nodules can start as superficial endometriosis and progress to infiltrate the bowel wall.

Endometriosis and the Bladder

Endometriosis affecting the bladder is rare and the exact cause is unknown. The penetration of the endometriosis can vary within two forms:

Useful links

Other websites and sources of information that might be helpful to you.


Bladder and Bowel Community

This charity provides information and support services, including a confidential helpline anyone who suffers from bladder and bowel control problems.  B&BF 

Lyndsey's story

Lyndsey talks about how endometriosis has affected her life

Endometriosis has had a great impact on Lyndsey's life, find out how she is learning to manage the condition.

Stephanie's story

Learn how Stephanie was diagnosed with endometriosis and how she took action afterwards.

Your laparoscopy

A laparoscopy is the most common way to diagnose endometriosis

Dorette's story

Photo of endometriosis case study Dorette

Read about how how endometriosis has affected Dorette's everyday life and how she manages the condition.

"People mistakenly believe because you’ve had surgery, you should be fine now. I still have a lot of pain."

Endometriosis FAQs

Each year we receive hundreds of emails and phone calls each year from women with endometriosis and their partners asking for more information about endometriosis. The information below contains answers to the most common questions we receive.

We hope this information will help you make any decisions you may face, but not to replace the medical advice from healthcare professionals. Please do continue to talk to your doctor if you are worried about any medical issues concerning endometriosis.


Alice's story

Alice Smith is the Young Ambassador for Endometriosis UK and is helping us to raise awareness of endometriosis in young women. 

Learn how she faces living with the condition.

"I have nothing to lose by empowering myself to take control and never letting my endometriosis win".


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