Endometriosis UK
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Best way to get pregnant

Hi Everyone

Maybe you can help? I was diagnosed with Endo a few months ago. I have a 27mm endometrioma on my left ovary and a 17mm on my right. I've seen both NHS and private consultants and they all seem to have conflicting views.

My options are either-

1. Wait for NHS IVF because removal of the cysts is unneccesary due to their size and the possibility of scarring after surgery or having to remove an ovary.

2. Go for surgery to remove them because it can increase chances of natural conception or increase success of IVF

We've been trying for 3 and a half years, my tubes are open, I'm ovulating and luckily I don't get much pain. What would you do?

5 Replies

I would have the surgery (making sure its a bsge center!) As I believe this will give you the best chance to then fall pregnant ether naturally or via IVF.

1 like

I found this review paper helpful in understanding best options: http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC3538128%2F It does say that excision of endometriomas improves the chance of natural conception. I don't know if it depends on the size of the endometriomas. Is there an option to go on the waiting list for IVF and have the endometriomas removed while waiting?


Not sure if the link worked, trying again: ncbi.nlm.nih.gov/pmc/articl...


Hi, I'm in a similar situation to you, I have been trying to conceive for three years with no success. All my tests came back normal and the same for my husband. I have just had a Laparoscopy a week ago and they confirmed I have Endo. Just waiting to back to the hospital in 2 weeks to discuss the findings in more detail and my options moving forward. I think they will push for the IVF route with me as I'm nearly 35.

Just wondered what did you decide to do?

Thanks xx



We decided against lap after getting a few different opinions. Since I don't have any pain it didn't make sense to risk scarring or affect the ovarian reserve.

We're about to go for treatment planning for IVF. The gynae has said endometriomas haven't grown and won't get in the way of egg retrieval. 😊


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