Can Excision Surgery Improve Fertility?

With expert input from Dr. Christopher Kliethermes, Gynecologic Surgeon and Endometriosis Excision Specialist at PRM’s Center of Excellence in Troy

If you are struggling with infertility and haven’t found clear answers, endometriosis could be playing a significant role. Research suggests that approximately 50% of unexplained infertility cases are caused by endometriosis. However, this number may be even higher, as many studies are outdated and the true impact of endometriosis on fertility is difficult to measure.

How Endometriosis Impacts Fertility

Endometriosis is a condition in which tissue similar to the uterine lining grows outside the uterus, often affecting the ovaries, fallopian tubes, and other pelvic structures. This can interfere with fertility in several ways:

  • Inflammation and Scarring – Endometriosis can cause chronic inflammation, leading to the formation of scar tissue (adhesions) that can distort reproductive organs and make conception more difficult.
  • Hormonal Imbalances – The disease can alter hormone levels, disrupting ovulation and making it harder to conceive.
  • Egg Quality and Implantation Issues – Inflammatory cytokines associated with endometriosis can impact egg quality and reduce the chances of successful implantation
  • Blocked Fallopian Tubes –Adhesions and scarring can block the fallopian tubes, preventing the egg from meeting the sperm

The Role of Excision Surgery in Fertility Improvement

For those experiencing infertility due to endometriosis, expert excision surgery can be a game-changer. Excision surgery, performed by a specialist, removes endometriosis at its root, reducing inflammation, eliminating adhesions, and restoring reproductive organ function.

Studies show that up to 75% of patients who undergo expert excision surgery achieve successful pregnancies in the future. This highlights the effectiveness of surgical intervention for those struggling to conceive due to endometriosis.

Is Excision Surgery Right for You?

If you have undergone extensive fertility testing with no clear answers, or if you have been diagnosed with endometriosis but have not explored surgical options, consulting with an endometriosis excision specialist is highly recommended.

While surgery carries some risks, the benefits of removing endometriosis—particularly in cases where fertility is compromised—are significant. When performed by an experienced surgeon, excision surgery is considered a low-risk procedure with high potential rewards, including improved fertility outcomes.

Take the Quiz: Am I A Candidate for Excision Surgery?

Take Control of Your Fertility Journey

If infertility has been a frustrating and confusing road for you, it may be time to consider whether endometriosis is a contributing factor. Expert excision surgery offers a promising path to improving fertility, reducing pain, and increasing your chances of achieving a successful pregnancy.

Seeking care from an endometriosis specialist could be the next step in your journey toward parenthood. You deserve answers—and effective treatment options that prioritize both your health and your future.

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