Why does IVF fail with endometriosis?

How likely is IVF to work with endometriosis?

Here’s the thing about endometriosis.

IVF Won’t ‘Fix’ Endometriosis—So Why Do Doctors Ignore It?

The other day, I was on a call with a client and her fertility doctor. She had been through years of pain, heavy periods, and a frustrating journey of trying to conceive with endometriosis.

So here we were, on the call, expecting a real discussion about how to address her endometriosis and her fertility challenges. Instead, the doctor casually said: “I’m not worried about the endo, we’ll just do IVF.”

My eyes nearly popped out of my sockets. 🤯

Because here’s the thing—I’ve seen this happen over and over again. Doctors dismiss endometriosis like it’s just a minor inconvenience, something that can be bypassed with a little bit of science and a few hormone injections. And time and time again, I watch women invest their time, money, and hope into IVF without anyone properly addressing how their endometriosis is actually impacting their fertility.

And when IVF doesn’t work? They’re left confused, heartbroken, and back at square one.

Can IVF be successful with endometriosis?

Endometriosis Is NOT Just a Fertility Issue—It’s an inflammatory disorder that affects the whole body.

The biggest mistake in fertility treatment is treating endometriosis as if it’s just a reproductive system disorder. It’s not. Endometriosis is an inflammatory condition that can affect egg quality, implantation, hormone balance, immune function, and the whole body.

And if you don’t address those issues first, IVF success rates drop. Dramatically. It’s not as simple as ‘get a good embryo and transfer it.’ The issue then becomes can we even get good quality embryos with endometriosis? Then we need to look at environment in which that embryo is placed. We need to look at how to increase implantation success with endometriosis.

So when a doctor says, “Just do IVF” without discussing how to manage inflammation, improve implantation, or support egg quality—it’s like putting premium gas in a car with a failing engine and expecting it to run like new.

What is the success rate of IVF with Endometriosis?

Endometriosis will impact your IVF success.

Let’s talk about why ‘just do IVF’ isn’t the magic fix that so many doctors make it out to be:

1️⃣ Inflammation Doesn’t Disappear in an IVF Cycle – Endometriosis is driven by chronic inflammation, and if your body is in a state of stress and inflammation, it can impact egg quality, fertilization, and implantation.

2️⃣ Egg Quality Needs Support Before Retrieval – Endo can impact mitochondrial function and oxidative stress in the ovaries, which means eggs may not develop optimally. Without proper preparation, egg retrieval may not yield the best results.

3️⃣ Implantation Can Be Compromised – Even if you get a ‘perfect’ embryo, if your uterine environment isn’t optimized (due to inflammation, progesterone resistance, or immune issues caused by endo), implantation can fail.

4️⃣ Repeated Failed Cycles = More Heartbreak – Too many women go through cycle after cycle of IVF without realizing that their endometriosis is one of the key factors preventing success.

A Smarter Approach: Treating YOU, Not Just Pushing Through IVF

What is the best protocol for IVF with endometriosis?

Instead of rushing into another round of IVF without a plan, here’s what actually works:

✔ Working with a doctor who understands how endo affects fertility – I collaborate with doctors who don’t just push IVF as the first and only option. They take endometriosis seriously and work to improve the conditions for conception before moving forward with treatment. They have an actual endometriosis protocol that works.

✔ Reducing inflammation – Through nutrition, lifestyle adjustments, and targeted supplementation, we can calm the inflammatory response that’s working against your fertility.

✔ Supporting egg quality – It takes about 90 days for an egg to fully develop, and during that time, we can optimize your body’s environment to improve egg health.

✔ Improving implantation chances – Making sure your uterine lining is receptive, your progesterone is doing its job, and your immune system isn’t attacking the embryo is critical for success.

✔ Balancing hormones naturally – Endo often comes with estrogen dominance, progesterone resistance, and other imbalances that impact fertility. Addressing these first makes all the difference.

You Deserve a Fertility Plan Tailored to YOU

If you have endometriosis and are trying to conceive, you deserve a plan that actually supports your body and increases your chances of success—not just another cycle of trial and error.

I work alongside doctors who take endo seriously, and together, we create a personalized plan that prepares your body for pregnancy—whether that’s naturally or through IVF.

Because you with endo need a different approach than someone without it. And the right strategy can make all the difference.

If you’re tired of feeling dismissed and want to take control of your fertility the right way, let’s chat. 💛 I offer complimentary calls, and you can book yours through the this link.

Let’s make a fertility plan that actually works for YOU.