Endometriosis: symptoms, causes, and probability of pregnancy


Today, we want to focus on the endometriosis. This disease, also called “invisible disease” by the World Health Organization (WHO) , affects approximately 10% (around 190 million) of women and girls in their reproductive age worldwide.

Implantation Failure

What is Endometriosis?

Endometriosis is a disease characterised by tissue similar to the endometrium growing outside of the uterus. This leads to a chronic inflammation that can result in the formation of scar tissue in the pelvis. Although this condition can manifest in different types of lesions and areas beyond the pelvis, it’s not visible to the naked eye. Despite a normal external appearance, women who have it experience excruciating and persistent pain.

Endometriosis is classified into four stages, ranging from mild to severe (Stage I, II, III, and IV).

Symptoms and diagnosis

Common symptoms of endometriosis include:

  • Dysmenorrhea: Pain in the lower abdomen or back (pelvic pain) due to menstruation
  • Chronic pelvic pain (pain in the ovaries, uterine contractions)
  • Chronic fatigue and menstrual pain that interfere with daily activities
  • Dyspareunia: Pain during or after sexual intercourse
  • Painful urination
  • Intestinal disorders (especially during menstruation)
  • Difficulty in getting pregnant

Detection of endometriosis varies in each case and can be based on persistent symptoms or identified during a medical examination such as pelvic exam, ultrasound, magnetic resonance imaging (MRI), or laparoscopy.

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How is Endometriosis detected? Tests and treatments

The detection varies for each case and person. Consistent abnormal symptoms usually lead to a proper diagnosis, so it’s important to consult a gyneacologist if you experience any of them.

>> The endometrium: does it influence my fertility? <<

Tests to detect an endometriosis also depend on each patient. However, if there are cysts, scars, or growing tissue outside the uterus, the following exams are usually conducted:

  • Pelvic exam
  • Ultrasound
  • Magnetic resonance imaging (MRI)
  • Laparoscopy
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Treatments for Endometriosis

Although there’s no cure for the endometriosis, there are treatments for endometriosis and available to relieve the pain and improve the quality of life.

Endometriosis can be treated medically or surgically. Medical treatments may include hormonal contraceptives, agonists and antagonists of gonadotropin-releasing hormone (Gn-RH), treatments with progestins, and aromatase inhibitors:

  • Hormonal contraceptives: Birth control pills, patches, vaginal rings, hormonal IUDs that release progestin hormones.
  • Agonists and antagonists of Gn-RH.
  • Treatment with progestins.
  • Aromatase inhibitors.

Fertility solutions

In terms of fertility, women with endometriosis are more likely to experience infertility or have difficulties getting pregnant. However, there are solutions for infertility due to endometriosis.

In most cases, a laparoscopy will be recommended to remove growths, eliminate any lesions, and improve the fertility of women with mild or minimal endometriosis. In particular cases, surgery can increase their chances of getting pregnant.

If pregnancy isn’t achieved through this laparoscopy method, in vitro fertilisation (IVF) can be an effective option to become pregnant. The IVF protocol is tailored to each patient’s individual needs, considering factors such as pain and ovarian reserve.

Vida Fertility Institute IVF Lab

Vida Fertility Institute

At Vida Fertility Institute, we understand the challenges that endometriosis can bring on your journey to becoming parents. Our team of fertility specialists is dedicated to providing personalised solutions.

Together, we will face these obstacles and build a successful path to parenthood. If you’re seeking answers and support, you’ve come to the right place. Don’t hesitate to contact us today and let us be a part of your fertility journey and help you make your deepest dream come true!

Testimony of pregnancy with endometriosis

Chloe's mom

It is incredible how from absolute resignation, these doctors lifted my spirits. They got me pregnant and gave me my Life back. They live up to their name.

Oliver's mom

I had to find a solution to my motherhood if I wanted to pursue my career and not settle for just any partner. I made the right choice.

Lucas' mom

I felt from the first moment I was listened to, understood and, above all, I felt that my treatment was finally going in the right direction.


Hello dear Mrs Ortega,
you and the whole team of Vida fertility make us so happy. Finally a relief that we can be helped! Many thanks to you and all the others for the great care and exceptional quality work. This high quality means a lot to us. We hope that in 2024 we can take a healthy baby full of love into our arms.❤️


Thanks to Dr. Kathi’s support and by following all her advice, the best moment of the treatment came: I got pregnant.


I didn’t know if I would ever be able to get pregnant and now I’m in my 5th month of pregnancy.


It hasn’t been easy an easy journey. But after two attempts, I’m happy to say that, in two months’ time, I’ll be meeting my little girl.

Lucy and Helen

Being able to experience this shared motherhood has been a gift for the two of us.
THANK YOU to this great team for everything!

Egg donation treatment

We highly recommend Vida Fertility to anyone who has already given up hope and wants to give it one last try.