Endometriosis Fertility Treatment in Kolkata — Getting Pregnant Despite Endometriosis

Understanding This Condition

Endometriosis occurs when tissue similar to the uterine lining (endometrium) grows outside the uterus — on the ovaries, fallopian tubes, bowel, or pelvic lining. Each month, this tissue responds to hormones and bleeds, causing inflammation, scar tissue (adhesions), and often severe pain. Endometriosis impairs fertility by damaging fallopian tubes, affecting egg quality, altering the uterine environment, and — in severe cases — forming ovarian cysts called endometriomas.

Symptoms & Diagnosis

Women with painful, heavy periods, pain during intercourse or bowel movements, chronic pelvic pain, bloating, or subfertility — especially those in whom ultrasound has shown ovarian endometriomas (chocolate cysts). Also women who have not conceived after 6 months of trying (given endometriosis reduces monthly conception rates substantially).

Treatment Options

• 1Step 1: Clinical assessment — symptom mapping, pelvic examination, detailed transvaginal ultrasound
• 2Step 2: Laparoscopy — gold standard for diagnosis and staging (Stage I–IV), and simultaneous surgical treatment
• 3Step 3: Surgical excision — endometriotic deposits removed, adhesions released, endometriomas carefully drained/excised
• 4Step 4: Post-surgical fertility planning — trial of natural conception for 6 months after surgery if Stage I–II
• 5Step 5: IVF — recommended for Stage III–IV, bilateral involvement, recurrent endometriosis, or age over 35
• 6Step 6: Modified IVF protocol to protect remaining ovarian reserve