How successful is IVF with endometriosis?

Over 10% of the females in reproductive age suffer from endometriosis, according to the World Health Organization.

50% of the women with mild endometriosis and around 30% of those with moderate to severe endometriosis are able to conceive naturally.

However, it’s not straightforward for everyone as endometriosis creates a hostile environment for fertilization and also affects the subsequent implantation of the embryo in your uterus. When left unchecked, it may damage the eggs, block the tubes, form cysts, and change the pelvic environment which can gradually lead to infertility.

What is the best IVF protocol for endometriosis patients?

The following is a general IVF endometriosis protocol which will be customized to your situation:

Treatment for endometriosis first – may be indicated only in certain circumstances or for women who:

1. Have normal AMH (2-6ng/mol) levels in any phase of the cycle
2. Have normal Antral Follicular Count (suggesting normal ovarian reserve)
3. Fallopian tubes are clear
4. Has a partner with a normal sperm count
5. Are between their late 20s and early 30s
6. Haven’t undergone surgery previously
7. Experiencing rapid growth of lesions that are larger than 5 centimeters

IVF procedure directly – may be considered if you have endometriosis along with:

1. Poor ovarian reserve
2. Low AMH levels
3. Reoccurred endometriosis after surgery
4. Damaged fallopian tubes
5. Are older
6. Partner with low sperm count

IVF can worsen endometriosis or the cycle may not be successful if the hormones and fertility parameters are not checked properly.

If excision surgery is performed, the best care should be taken to protect your ovarian reserve. For the best outcome, you must consult with an expert fertility specialist to ensure it is planned well.