Struggling to Conceive? Discover How Endometriosis Could Be the Culprit

Dr. Marika Raff • September 25, 2024

Infertility is a complex issue that can stem from a variety of underlying conditions, one of which is endometriosis. For those diagnosed with endometriosis, the path to conception can be particularly challenging. At Caperton Fertility Institute, we believe that knowledge is power. Understanding what endometriosis is and how it affects fertility is the first step towards finding effective treatment. In this blog, we’ll explore what endometriosis entails, its impact on fertility, and the treatment options available.

What is Endometriosis?

Endometriosis is a condition where tissue similar to the lining inside the uterus, known as the endometrium, starts to grow outside the uterus. This can occur on the ovaries, fallopian tubes, the outer surface of the uterus, and other organs within the pelvis. These endometrial-like tissue growths respond to hormonal changes of the menstrual cycle, leading to inflammation, pain, and the formation of scar tissue and adhesions.

Symptoms of Endometriosis

The symptoms of endometriosis can vary widely among women, but common signs include:

  • Pelvic Pain: Often severe, especially during menstruation.
  • Painful Periods: Also known as dysmenorrhea.
  • Pain during Intercourse: Discomfort during or after sex.
  • Pain with Bowel Movements or Urination: Usually experienced during menstrual periods.
  • Excessive Bleeding: Heavy periods or bleeding between periods.
  • Infertility: Difficulty conceiving is a common symptom, affecting up to 50% of women with endometriosis.

How Endometriosis Affects Fertility

Endometriosis can impact fertility in several ways:

  • Distorted Anatomy: Scar tissue and adhesions can alter the structure of the reproductive organs, blocking the fallopian tubes.
  • Impaired Egg Quality: The inflammatory environment in the pelvis may reduce the quality of the eggs produced by the ovaries.

Diagnosing Endometriosis

Diagnosis typically involves a combination of the following:

  • Medical History and Symptom Evaluation: Detailed discussion of symptoms and menstrual history.
  • Physical Examination: Including a pelvic exam to identify abnormalities.
  • Imaging Tests: Ultrasound or MRI to visualize endometriosis cysts or nodules.
  • Laparoscopy: A minimally invasive surgical procedure that allows direct visualization and diagnosis of endometrial lesions. It is often considered the gold standard for diagnosis.

Treatment Options for Endometriosis and Associated Infertility

While there is no cure for endometriosis, several treatments can help manage symptoms and improve fertility:

Pain Management

Over-the-counter pain relievers or prescription medications can help manage the pain associated with endometriosis.

Hormonal Therapy

  • Birth Control Pills, Patches, or Rings: These can help control hormones responsible for the growth of endometrial tissue.
  • Gonadotropin-Releasing Hormone (GnRH) Agonists and Antagonists: These medications reduce estrogen levels, inducing a temporary menopause-like state to shrink endometrial tissue.
  • Progestins: Can help reduce or eliminate menstruation, alleviating endometriosis symptoms.

Surgical Treatment

  • Laparoscopy: This procedure can remove or destroy endometrial growths, scar tissue, and adhesions, potentially improving fertility.
  • Laparotomy: A more extensive surgery, usually reserved for severe cases of endometriosis.

Fertility Treatments

In Vitro Fertilization (IVF): Often recommended for women with severe endometriosis or those who have not had success with other treatments. IVF bypasses many of the fertility barriers posed by endometriosis, offering a higher chance of conception.

Lifestyle and Complementary Therapies

  • Diet and Exercise: Maintaining a healthy lifestyle can help manage symptoms.
  • Acupuncture and Physical Therapy: These may provide relief from pain and improve overall well-being.

Emotional Support and Counseling

Dealing with endometriosis and infertility can be emotionally taxing. At Caperton Fertility Institute, we understand the importance of emotional support throughout your journey. Counseling, support groups, and stress management techniques can provide invaluable support as you navigate the challenges of endometriosis and infertility.

A diagnosis of endometriosis and infertility can be overwhelming, but understanding the condition and exploring your treatment options is the first step towards managing it effectively. At Caperton Fertility Institute, we offer personalized care and advanced treatments to help you overcome the barriers posed by endometriosis and achieve your dream of parenthood.

If you have been diagnosed with endometriosis or are experiencing infertility, we encourage you to reach out to Caperton Fertility Institute in Albuquerque, New Mexico, or El Paso, Texas. Our dedicated team of specialists is here to provide you with the support and treatment options you need to achieve your reproductive goals.

For more information or to schedule a consultation, please contact us today.

Additional Resources on Endometriosis

Understanding Fibroids and Fertility

By Dr. Lee Caperton • October 7, 2025
Uterine fibroids are a common diagnosis among women of reproductive age. While many fibroids are harmless and cause no symptoms, others can interfere with fertility and pregnancy. At Caperton Fertility Institute , we help patients understand how fibroids may affect reproductive health and provide personalized treatment options to optimize fertility outcomes. What Are Uterine Fibroids? Fibroids, also known as leiomyomas , are benign (non-cancerous) growths that develop in or on the uterus. They can vary greatly in size, number, and location. Depending on where they form, fibroids are classified into several types: Submucosal Fibroids: Grow into the uterine cavity Intramural Fibroids: Develop within the uterine wall Subserosal Fibroids: Form on the outer surface of the uterus Pedunculated Fibroids: Attached by a stalk extending from the uterus How Fibroids Can Affect Fertility Not all fibroids impact fertility. However, certain types and locations are more likely to interfere with conception, implantation, or pregnancy progression. Submucosal Fibroids: These are most likely to affect fertility because they distort the uterine cavity, which can prevent implantation or increase the risk of miscarriage. Intramural Fibroids: When large, these fibroids can change the shape of the uterus and affect blood flow, potentially reducing the chances of successful embryo implantation. Tubal Blockage: Fibroids located near the fallopian tubes can obstruct sperm or egg movement, preventing fertilization. Cervical Fibroids: Although rare, fibroids near the cervix can hinder sperm entry into the uterus. Common Symptoms of Fibroids Fibroid symptoms vary widely — some people experience significant discomfort, while others have no symptoms at all. Common signs include: Heavy or prolonged menstrual bleeding Pelvic pain or pressure Pain during intercourse Frequent urination or constipation Recurrent pregnancy loss or difficulty conceiving For many patients, fibroids are first discovered during a fertility evaluation or routine pelvic exam . Diagnosis and Treatment Options At Caperton Fertility Institute , we use advanced diagnostic imaging such as ultrasound and MRI to assess fibroid size, number, and location. Once diagnosed, treatment is tailored to your fertility goals and overall health. Treatment options include: Medical Management: Hormonal therapies to reduce symptoms and fibroid growth. Surgical Options: Myomectomy to remove fibroids while preserving the uterus. Minimally Invasive Procedures: Hysteroscopic or laparoscopic surgery for faster recovery and minimal scarring. Our approach is designed to preserve fertility whenever possible while alleviating symptoms and improving uterine health. Hope After a Fibroid Diagnosis A fibroid diagnosis doesn’t mean you can’t conceive. Many patients with fibroids go on to achieve healthy pregnancies — especially with proper evaluation and treatment. At Caperton Fertility Institute , our experienced fertility specialists in Albuquerque, NM , and El Paso, TX , provide compassionate, individualized care for every patient. We’ll guide you through diagnosis, treatment, and the next steps toward achieving your dream of parenthood. ✨ If you suspect fibroids may be affecting your fertility, schedule a consultation today. Let’s take the next step together toward your fertility goals.

Honoring Pregnancy & Infant Loss Awareness Month 🤍

By Dr. Marika Raff • October 7, 2025
Every loss is unique. Every story matters. Every life is remembered.
Blonde woman in red sweater smiles while using a laptop and tablet at a cafe table.

Egg Donor FAQ

By Dr. Kelly Caperton • September 19, 2025
1. What is egg donation? Egg donation is the process by which a healthy woman donates her eggs to help another individual or couple conceive a child. These eggs may be fertilized through in vitro fertilization (IVF) and implanted into a recipient’s uterus or frozen for future use. 2. Who can become an egg donor? At Caperton Fertility Institute, we welcome egg donors who meet the following criteria: Ages 19–30 Physically and emotionally healthy Non-smoker, non-drug user Regular menstrual cycles No history of genetic or reproductive disorders Willing to undergo medical and psychological screening Able to commit to the time and responsibilities of the donation process 3. Why do people need egg donors? Egg donors help individuals and couples who are unable to conceive using their own eggs due to: Advanced maternal age Genetic conditions Medical treatments like chemotherapy LGBTQ+ family-building Unexplained infertility 4. Is egg donation safe? Yes. Egg donation is a common and generally safe medical process. It involves hormone injections to stimulate the ovaries and a minor outpatient procedure to retrieve the eggs. Risks are low but can include mild discomfort, bloating, or temporary side effects from medication. Serious complications are rare. 5. Will donating affect my fertility? No, egg donation does not impact your long-term fertility. Women are born with thousands of eggs, and donation uses only a small number that would naturally be lost in a normal cycle. 6. Is egg donation painful? Most donors report mild discomfort similar to menstrual cramps. The egg retrieval procedure is done under light sedation, so you won’t feel pain during the process. Recovery typically takes 1–2 days. 7. Will I be compensated? Yes. Caperton Fertility Institute offers generous, ethically guided compensation for your time, effort, and commitment. The amount is discussed during your initial consultation and complies with all legal and medical guidelines. 8. How long is the egg donation process? The process generally takes 6–10 weeks from initial screening to egg retrieval. It includes: Application and screening Medical and psychological evaluations Legal review Hormonal stimulation (approx. 10–14 days) Egg retrieval procedure 9. Can I still work or go to school during the donation process? Yes. Most of the process can be scheduled around your routine. However, you'll need to attend several clinic appointments and take medications on a strict schedule. During the last week, you'll need to reduce physical activity. 10. Will my identity be kept confidential? Absolutely. Donor confidentiality is strictly maintained. You can choose to remain anonymous, open, or semi-open, depending on your preferences and the recipient’s needs. 11. How do I get started? To begin the egg donor application process: Visit our Portal Fill out a questionnaire Our donor coordinator will contact you for next steps 12. Can I donate more than once? Yes, eligible donors can donate up to six times, as recommended by the American Society for Reproductive Medicine (ASRM). Each cycle is spaced out for your health and safety.
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