Richmond Practice - Endometriosis: Fertility implications, symptoms and treatment

Endometriosis: Fertility implications, symptoms and treatment
Print Share via email Download PDF Share on facebook Share

Endometriosis: Fertility implications, symptoms and treatment

Dr Sebastian Renz MRCGP DFFP, Elsbeth's Doctors Medical Director provides an insight into the symptoms and treatment of endometriosis and how it affects fertility.

What is endometriosis? 

Endometriosis is a condition in which the tissue (endometrium) normally lining the womb (or uterus) grows outside, on and around the pelvic and abdominal organs. We most often find that it is associated with heavy and or abnormal menstrual flow and painful periods. Over 1.5 million women are affected by endometriosis in the UK. As far as we know the problem is hereditary. 

Endometriosis and fertility 

Endometrioses can cause infertility, depending on how the disease has affected the reproductive organs. In some cases the fallopian tubes can become blocked which causes damage to the ovaries, making conception increasingly difficult and causing infertility.

Consult your doctor, if you:


  • Struggle with painful and heavy periods 
  • Have chronic pelvic pain § Experience pain during sexual intercourse 
  • You cannot get pregnant 


We find that symptoms can vary in severity depending on where the endometriosis has implanted and how long the woman has had the condition. 

Diagnosis and treatment 

Endometriosis is diagnosed by excluding other conditions, such as fibroids with similar symptoms. It requires a thorough assessment by a GP or Gynaecologist. 

At Elsbeth's Doctors a female consultant Gynaecologist will meet with you to discuss your symptoms. She will then do a pelvic examination, ultrasound scan and/or blood tests. Once all other causes are excluded the final diagnosis is made by referring for a laparoscopy or key-hole surgery. With the help of a camera the doctor will establish whether endometrial tissue outside of the womb developed. If tissue is found, it is treated at the time laparoscopy is undertaken. 

For a same day appointment please contact us on 030 0303 5009 or at For more information visit



Guaranteed 10 min response
(in business hours)

Make an appointment >>