Endometriosis and fertility

Endometriosis is a chronic disease that can be found in 4-7% of all women. Cells similar to the mucosa of the uterus (endometrium) are found outside the uterus, primarily on the ovaries, fallopian tubes, the outside of the uterus and the abdominal cavity. These cells behave just like the cells in the uterus and bleed at each menstrual period.

The bleeding can cause severe pain during menstruation. In addition, the cells secrete some substances and form scar tissue that affects both the function of the fallopian tubes and the lining of the uterus and can make it difficult to get pregnant. It is estimated that up to 30-50 percent of women with endometriosis have a fertility problem.

Endometriosis does not prevent fertility treatment, neither insemination nor test tube treatment. The choice of fertility treatment depends on age and degree of endometriosis.


If you are young, all exams are normal and you have only minimal or mild endometriosis, you can try with 3 inseminations in the first place.

If you have moderate or severe endometriosis and if you have been operated on for endometriosis prior to fertility treatment, most fertility doctors will advise you to get IVF treatment right away. This is because your chance of pregnancy is greatest in the first months after the surgery and the aftercare is completed. Therefore, you should have the treatment that gives you the greatest chance of pregnancy.

If you have been operated on the ovaries, you have also removed a part of the surface of the ovaries where the small ovaries are located. An ovarian endometrial cyst surgery will therefore reduce your ovarian reserve. Therefore, one must always assess the pros and cons of any surgery prior to fertility treatment. Small endometriosis cysts should not be removed prior to fertility treatment.

At Vitanova we advise based on the individual's situation. Through a consultation we will advise you / you on the treatment that is most likely to ensure pregnancy. You are always welcome to contact us with questions about us or our treatments. We look forward to helping you.

We're open and ready to help you!

You can discuss treatments or any questions you have with one of our experienced Patient Advisors

Call us on: +45 33 33 71 01

Monday - Friday 8:00 - 15:30
Saturday 8:00 - 12:00
Sunday Closed

If you are ready to start IVF treatment and wish to book your Advanced Scan & Virtual Consultation you can do this easily online.

book appointment