{"id":5186,"date":"2026-10-08T09:00:11","date_gmt":"2026-10-08T08:00:11","guid":{"rendered":"https:\/\/www.ecclinic.ie\/?p=5186"},"modified":"2026-10-08T18:08:40","modified_gmt":"2026-10-08T17:08:40","slug":"endometriosis-fertility-dublin","status":"publish","type":"post","link":"https:\/\/www.ecclinic.ie\/pt\/posts\/endometriosis-fertility-dublin\/","title":{"rendered":"Endometriosis and Fertility: The Questions Dublin Women Actually Ask"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"5186\" class=\"elementor elementor-5186\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-de733ef e-flex e-con-boxed e-con e-parent\" data-id=\"de733ef\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9469cb7 elementor-widget elementor-widget-html\" data-id=\"9469cb7\" data-element_type=\"widget\" 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class=\"ec-blog-quick-answer\">\n  <p class=\"ec-blog-quick-answer__label\">Quick answer<\/p>\n<p><span style=\"font-weight: 400;\">Endometriosis affects up to 1 in 7 women and girls in Ireland, and its relationship with fertility is more nuanced than \u201cendometriosis causes infertility.\u201d Many women with endometriosis conceive without any assistance at all. Others face real difficulty, particularly with more extensive disease. What actually matters for fertility is the type and severity of the endometriosis, not the diagnosis alone. Endometriosis is confirmed through a combination of symptom history, examination, ultrasound and, definitively, laparoscopy. If you are trying to conceive and have painful or heavy periods, pain during sex, or bowel or bladder symptoms that worsen with your cycle, that combination is worth assessing rather than living with.<\/span><\/p>\n<\/div>\n\n<div class=\"ec-blog-pullquote\">\n  <p class=\"ec-blog-pullquote__label\">From Dr. Eliana<\/p>\n<p><span style=\"font-weight: 400;\">Two women can sit in my consulting room with the same diagnosis on paper and completely different experiences of it. One conceives within months without any intervention. Another has been trying for two years and needs a fuller conversation about assisted options. What I want every patient to understand is that \u201cendometriosis\u201d is not a single fertility verdict. It is a starting point for a much more specific conversation about your type, your severity, your age and your history \u2014 and that conversation, not the diagnosis by itself, is what should guide what happens next.<\/span><\/p>\n<\/div>\n\n<div class=\"ec-blog-takeaways\">\n<h2 class=\"elementor-heading-title elementor-size-default\">Key takeaways<\/h2>\n<ul>\n  <li><span style=\"font-weight: 400;\">Endometriosis affects up to 1 in 7 women and girls in Ireland, from the start of menstruation until menopause.<\/span><\/li>\n  <li><span style=\"font-weight: 400;\">Not every woman with endometriosis has fertility difficulty \u2014 many conceive naturally.<\/span><\/li>\n  <li><span style=\"font-weight: 400;\">There are recognised types: superficial peritoneal disease, ovarian endometriomas (sometimes called \u201cchocolate cysts\u201d), and deep infiltrating endometriosis, and severity matters more to fertility than the label alone.<\/span><\/li>\n  <li><span style=\"font-weight: 400;\">Diagnosis typically follows a pathway: history and examination, then ultrasound, then referral to a gynaecologist if symptoms persist; laparoscopy remains the only way to confirm it with certainty.<\/span><\/li>\n  <li><span style=\"font-weight: 400;\">Endometriomas can affect ovarian reserve, particularly if surgically removed, which is why surgical decisions in women trying to conceive are individualised.<\/span><\/li>\n  <li><span style=\"font-weight: 400;\">Nutritional deficiencies, especially vitamin D, are associated with poorer fertility outcomes generally, and testing before supplementing is more useful than guessing.<\/span><\/li>\n  <li><span style=\"font-weight: 400;\">Delaying assessment when symptoms are significant can mean delaying a fertility conversation that would otherwise have started sooner.<\/span><\/li>\n  <li><span style=\"font-weight: 400;\">There is no single \u201cendometriosis and fertility\u201d protocol \u2014 the right path depends on type, severity, age and how long you\u2019ve been trying.<\/span><\/li>\n<\/ul>\n<\/div>\n\n<div class=\"ec-blog-spacer\" aria-hidden=\"true\"><\/div>\n\n\n<h2 class=\"elementor-heading-title elementor-size-default\">What is endometriosis, and how common is it really?<\/h2>\n\n<p><span style=\"font-weight: 400;\">Endometriosis occurs when tissue similar to the lining of the uterus grows in other places in the body, most often the ovaries, fallopian tubes, and the peritoneum lining the pelvis, but occasionally further afield, including the bladder or bowel. Because this tissue behaves similarly to the uterine lining, it responds to the hormonal cycle, which means it can bleed, inflame the surrounding tissue, and over time contribute to scarring and adhesions.<\/span><\/p>\n\n<p><span style=\"font-weight: 400;\">It is far more common than most people realise. The HSE describes it as affecting up to 1 in 7 women and girls in Ireland, typically beginning around the time periods start and persisting until menopause. Severity varies enormously: some women have minimal symptoms, and some have disease significant enough to affect daily life, work and relationships. At EC Clinic in Dublin, assessment often begins with a <a href=\"\/general-gynaecological-consultation\/\">general gynaecological consultation<\/a> or a <a href=\"\/reproductive-health-consultation\/\">reproductive health consultation<\/a>, depending on your goals.<\/span><\/p>\n\n<div class=\"ec-blog-spacer\" aria-hidden=\"true\"><\/div>\n\n<h2 class=\"elementor-heading-title elementor-size-default\">What are the different types of endometriosis, and does the type matter for fertility?<\/h2>\n\n<p><span style=\"font-weight: 400;\">Endometriosis is not one uniform disease, and this is exactly where the fertility conversation gets more useful than a single diagnosis label. Clinically, it is generally grouped into three patterns.<\/span><\/p>\n\n<p><span style=\"font-weight: 400;\">Superficial peritoneal endometriosis involves implants on the surface lining of the pelvis. It is often the least anatomically disruptive form, though it can still cause significant pain. Ovarian endometriosis, or an endometrioma, involves a cyst within the ovary \u2014 sometimes referred to as a \u201cchocolate cyst\u201d because of the appearance of the old blood it contains \u2014 and this form can affect ovarian tissue and, in some cases, ovarian reserve. Deep infiltrating endometriosis involves tissue growing into deeper structures such as the bowel, bladder or the ligaments supporting the uterus, and is generally the most anatomically complex to treat.<\/span><\/p>\n\n<p><span style=\"font-weight: 400;\">For fertility specifically, what tends to matter most is not simply which category applies, but how much disease is present, whether the fallopian tubes and ovaries are structurally affected, and whether an endometrioma is present and how large it is. Two women with \u201covarian endometriosis\u201d on paper can have very different fertility pictures depending on the size of the cyst and whether ovarian reserve has been affected.<\/span><\/p>\n\n<div class=\"ec-blog-spacer\" aria-hidden=\"true\"><\/div>\n\n<h2 class=\"elementor-heading-title elementor-size-default\">Does endometriosis actually cause infertility?<\/h2>\n\n<p><span style=\"font-weight: 400;\">Not in every case, and this is worth saying clearly because the internet tends to compress this into a much more frightening statement than the evidence supports. Many women with endometriosis conceive naturally, including some with confirmed disease found incidentally during unrelated surgery.<\/span><\/p>\n\n<p><span style=\"font-weight: 400;\">Where endometriosis can affect fertility, several mechanisms are understood to contribute: inflammation within the pelvis can affect egg quality and the way the fallopian tubes and ovaries interact; scarring and adhesions can distort pelvic anatomy in a way that makes it harder for an egg to travel from ovary to tube; and, in the case of endometriomas, the cyst itself, or its surgical removal, can reduce the number of eggs remaining in the affected ovary.<\/span><\/p>\n\n<p><span style=\"font-weight: 400;\">The honest, useful framing is this: endometriosis is a risk factor for fertility difficulty, not a guaranteed cause of it. Severity, location, age, and how long a couple has been trying all shape the individual picture far more than the diagnosis alone.<\/span><\/p>\n\n<div class=\"ec-blog-spacer\" aria-hidden=\"true\"><\/div>\n\n<h2 class=\"elementor-heading-title elementor-size-default\">How is endometriosis actually diagnosed?<\/h2>\n\n<p><span style=\"font-weight: 400;\">The pathway usually starts with your GP taking a detailed symptom history and performing an abdominal and vaginal examination, since symptoms can overlap with other conditions. Because endometriosis can often be managed with medication in the first instance, your GP may suggest a trial of treatment before further testing \u2014 if that controls your symptoms well, additional investigation may not be necessary straight away.<\/span><\/p>\n\n<p><span style=\"font-weight: 400;\">If symptoms persist despite treatment, referral to a gynaecologist follows, and further tests can include a pelvic ultrasound to look for structural signs such as an endometrioma \u2014 at EC Clinic this may sit alongside pathways such as a <a href=\"\/fertility-scan-for-ivf\/\">fertility scan for IVF<\/a> when imaging is clinically indicated. The only way to confirm endometriosis with certainty, however, is laparoscopy: a surgical procedure in which a thin tube is passed through a small incision in the abdomen to directly visualise the pelvis and, where appropriate, take a biopsy or treat visible disease at the same time.<\/span><\/p>\n\n<div class=\"ec-blog-pullquote\">\n  <p class=\"ec-blog-pullquote__label\">Why timing matters<\/p>\n<p><span style=\"font-weight: 400;\">The HSE is direct about this: delaying assessment can make treatment less effective. If you are trying to conceive and have had painful or heavy periods for years and simply accepted it as \u201cnormal,\u201d that history is exactly the kind of detail worth bringing to a consultation sooner rather than later.<\/span><\/p>\n<\/div>\n\n<div class=\"ec-blog-spacer\" aria-hidden=\"true\"><\/div>\n\n<h2 class=\"elementor-heading-title elementor-size-default\">How does day-to-day life actually feel with endometriosis?<\/h2>\n\n<p><span style=\"font-weight: 400;\">Symptoms vary widely between women, but the most commonly reported include lower abdominal or back pain that can occur before, during or throughout the cycle; period pain severe enough not to respond to standard pain relief; heavy menstrual bleeding; pain during sex; pain with bowel movements or urination that worsens around your period; and persistent fatigue. Some women also notice nausea, constipation or diarrhoea around their period.<\/span><\/p>\n\n<p><span style=\"font-weight: 400;\">It is entirely possible to have significant disease with few symptoms, and equally possible to have very disruptive symptoms with relatively limited disease on imaging. This mismatch is part of why the condition is so often under-recognised, and why the pattern and persistence of symptoms \u2014 not their severity alone \u2014 is what should prompt assessment.<\/span><\/p>\n\n<div class=\"ec-blog-spacer\" aria-hidden=\"true\"><\/div>\n\n<h2 class=\"elementor-heading-title elementor-size-default\">Should I take fertility supplements if I have endometriosis?<\/h2>\n\n<p><span style=\"font-weight: 400;\">Only after testing for what you actually need, rather than taking a broad stack of supplements on the assumption that more must be better. Nutritional deficiencies \u2014 vitamin D in particular, along with iron, B12 and folate \u2014 are associated with poorer fertility outcomes generally, and much of Ireland runs low in vitamin D, especially through autumn and winter.<\/span><\/p>\n\n<p><span style=\"font-weight: 400;\">The more useful sequence is: test first, correct what is genuinely low, and reassess as your fertility plan evolves, whether that is trying naturally, considering IUI, or moving toward IVF. Guided supplementation, based on your actual results, supports fertility far more reliably than guesswork.<\/span><\/p>\n\n<div class=\"ec-blog-spacer\" aria-hidden=\"true\"><\/div>\n\n<h2 class=\"elementor-heading-title elementor-size-default\">I\u2019ve been told my endometriosis is \u201cmild\u201d \u2014 does that mean my fertility definitely isn\u2019t affected?<\/h2>\n\n<p><span style=\"font-weight: 400;\">Not necessarily, and this is one of the more counterintuitive parts of the condition. The amount of visible disease seen at laparoscopy does not always correlate neatly with how much pain a woman experiences or how her fertility is affected. Some women with extensive disease conceive without difficulty; some women with limited visible disease have a harder time. Inflammation, subtle effects on egg quality, and how the fallopian tubes and ovaries are interacting can all matter more than the visible extent of disease alone.<\/span><\/p>\n\n<p><span style=\"font-weight: 400;\">This is exactly why a fertility conversation for a woman with endometriosis should never stop at the word \u201cmild\u201d or \u201csevere\u201d on a surgical report. It should include your age, how long you\u2019ve been trying, your ovarian reserve if that\u2019s relevant to your timeline, and your specific symptoms, because those factors, taken together, give a far more useful picture than the grade of disease by itself.<\/span><\/p>\n\n<div class=\"ec-blog-spacer\" aria-hidden=\"true\"><\/div>\n\n<h2 class=\"elementor-heading-title elementor-size-default\">Does endometriosis affect ovarian reserve, and should I have that checked?<\/h2>\n\n<p><span style=\"font-weight: 400;\">It can, particularly when an endometrioma is present in the ovary \u2014 both the cyst itself and, in some cases, its surgical removal can reduce the number of eggs remaining in that ovary. This doesn\u2019t mean every woman with endometriosis needs ovarian reserve testing, but it is a reasonable and common part of the fertility conversation when endometriomas are involved, family-building is a near-term priority, or a woman is approaching a decision about surgery.<\/span><\/p>\n\n<p><span style=\"font-weight: 400;\">Ovarian reserve markers such as AMH (anti-M\u00fcllerian hormone) and antral follicle count on ultrasound give an estimate of egg quantity, not egg quality, and they are most useful when they answer a specific question \u2014 for example, helping plan the timing of treatment or informing a decision about whether to operate on an endometrioma before or after attempting pregnancy. They are not, by themselves, a verdict on whether you can or cannot conceive. For more on that distinction, see our post on <a href=\"\/posts\/ovarian-reserve-egg-quality-amh-dublin\/\">ovarian age, ovarian reserve and egg quality<\/a>.<\/span><\/p>\n\n<div class=\"ec-blog-spacer\" aria-hidden=\"true\"><\/div>\n\n<h2 class=\"elementor-heading-title elementor-size-default\">What does treatment and support actually look like?<\/h2>\n\n<p><span style=\"font-weight: 400;\">There is no single endometriosis protocol, because the right plan depends on your type, severity, symptoms, age and whether you are actively trying to conceive. Options broadly include medical management to control symptoms and slow disease activity; surgical management to remove or treat visible disease, which can improve both pain and, in some cases, fertility; and, where fertility is the priority and natural conception has not occurred, assisted options such as IUI or IVF.<\/span><\/p>\n\n<p><span style=\"font-weight: 400;\">Where an endometrioma is present and fertility is a priority, the decision to operate is not automatic. Surgery can improve the anatomical picture, but it can also further reduce ovarian reserve in some cases, so this is a genuinely individualised decision made together with your gynaecologist, weighing the size and behaviour of the cyst against your age and fertility timeline.<\/span><\/p>\n\n<div class=\"ec-blog-pullquote\">\n  <p class=\"ec-blog-pullquote__label\">From Dr. Eliana<\/p>\n<p><span style=\"font-weight: 400;\">I never want a patient to feel that fertility, pain control and quality of life are three separate conversations happening in three separate appointments. They are one plan, built together, because a treatment that resolves pain but overlooks your fertility timeline \u2014 or vice versa \u2014 is not actually a complete plan.<\/span><\/p>\n<\/div>\n\n\n<p class=\"ec-blog-reviewed\"><span style=\"font-weight: 400;\">Medically reviewed by Dr. Eliana Casta\u00f1eda, Obstetrician-Gynaecologist and Aesthetic Specialist \u00b7 9 October 2026<\/span><\/p>\n<p class=\"ec-blog-signature\"><span style=\"font-weight: 400;\">\u2014 Dr. Eliana Casta\u00f1eda<br>Obstetrician-Gynaecologist and Aesthetic Specialist \u00b7 Medical Director, EC Clinic Dublin \u00b7 22+ years of clinical practice across Venezuela, Spain and Ireland<\/span><\/p>\n\n<div class=\"ec-blog-faq\">\n<h2 class=\"elementor-heading-title elementor-size-default\">Frequently Asked Questions<\/h2>\n<div class=\"elementor-toggle\">\n  <div class=\"elementor-toggle-item\">\n    <h3 id=\"elementor-tab-title-87001\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-87001\" aria-expanded=\"false\">\n      <span class=\"elementor-toggle-icon elementor-toggle-icon-right\" aria-hidden=\"true\">\n        <span class=\"elementor-toggle-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n        <span class=\"elementor-toggle-icon-opened\"><svg class=\"elementor-toggle-icon-opened e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n      <\/span>\n      <a class=\"elementor-toggle-title\" tabindex=\"0\">Can I get pregnant if I have endometriosis?<\/a>\n    <\/h3>\n    <div id=\"elementor-tab-content-87001\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-87001\"><p><span style=\"font-weight: 400;\">Many women with endometriosis conceive naturally. For others, assisted options such as IUI or IVF can help. It depends on the type and severity of disease, your age, and how long you've been trying.<\/span><\/p><\/div>\n  <\/div>\n  <div class=\"elementor-toggle-item\">\n    <h3 id=\"elementor-tab-title-87002\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-87002\" aria-expanded=\"false\">\n      <span class=\"elementor-toggle-icon elementor-toggle-icon-right\" aria-hidden=\"true\">\n        <span class=\"elementor-toggle-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n        <span class=\"elementor-toggle-icon-opened\"><svg class=\"elementor-toggle-icon-opened e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n      <\/span>\n      <a class=\"elementor-toggle-title\" tabindex=\"0\">Does endometriosis always cause infertility?<\/a>\n    <\/h3>\n    <div id=\"elementor-tab-content-87002\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-87002\"><p><span style=\"font-weight: 400;\">No. It raises the risk of fertility difficulty, particularly with more extensive disease, but it does not guarantee infertility, and many women with confirmed endometriosis conceive without assistance.<\/span><\/p><\/div>\n  <\/div>\n  <div class=\"elementor-toggle-item\">\n    <h3 id=\"elementor-tab-title-87003\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-87003\" aria-expanded=\"false\">\n      <span class=\"elementor-toggle-icon elementor-toggle-icon-right\" aria-hidden=\"true\">\n        <span class=\"elementor-toggle-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n        <span class=\"elementor-toggle-icon-opened\"><svg class=\"elementor-toggle-icon-opened e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n      <\/span>\n      <a class=\"elementor-toggle-title\" tabindex=\"0\">What are the three types of endometriosis?<\/a>\n    <\/h3>\n    <div id=\"elementor-tab-content-87003\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-87003\"><p><span style=\"font-weight: 400;\">Superficial peritoneal disease, ovarian endometriosis (endometriomas), and deep infiltrating endometriosis, which grows into deeper structures like the bowel or bladder. Severity, not the label alone, matters most for fertility.<\/span><\/p><\/div>\n  <\/div>\n  <div class=\"elementor-toggle-item\">\n    <h3 id=\"elementor-tab-title-87004\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-87004\" aria-expanded=\"false\">\n      <span class=\"elementor-toggle-icon elementor-toggle-icon-right\" aria-hidden=\"true\">\n        <span class=\"elementor-toggle-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n        <span class=\"elementor-toggle-icon-opened\"><svg class=\"elementor-toggle-icon-opened e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n      <\/span>\n      <a class=\"elementor-toggle-title\" tabindex=\"0\">How is endometriosis diagnosed?<\/a>\n    <\/h3>\n    <div id=\"elementor-tab-content-87004\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-87004\"><p><span style=\"font-weight: 400;\">Through a detailed symptom history, examination, and often a trial of medication first. If symptoms persist, ultrasound and referral to a gynaecologist follow. Laparoscopy is the only way to confirm it with certainty.<\/span><\/p><\/div>\n  <\/div>\n  <div class=\"elementor-toggle-item\">\n    <h3 id=\"elementor-tab-title-87005\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-87005\" aria-expanded=\"false\">\n      <span class=\"elementor-toggle-icon elementor-toggle-icon-right\" aria-hidden=\"true\">\n        <span class=\"elementor-toggle-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n        <span class=\"elementor-toggle-icon-opened\"><svg class=\"elementor-toggle-icon-opened e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n      <\/span>\n      <a class=\"elementor-toggle-title\" tabindex=\"0\">Should I take fertility supplements if I have endometriosis?<\/a>\n    <\/h3>\n    <div id=\"elementor-tab-content-87005\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-87005\"><p><span style=\"font-weight: 400;\">Only after testing for real deficiencies \u2014 vitamin D, iron, B12 and folate are the ones most worth checking. Guided supplementation based on your results works better than taking supplements without testing.<\/span><\/p><\/div>\n  <\/div>\n  <div class=\"elementor-toggle-item\">\n    <h3 id=\"elementor-tab-title-87006\" class=\"elementor-tab-title\" data-tab=\"6\" role=\"button\" aria-controls=\"elementor-tab-content-87006\" aria-expanded=\"false\">\n      <span class=\"elementor-toggle-icon elementor-toggle-icon-right\" aria-hidden=\"true\">\n        <span class=\"elementor-toggle-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n        <span class=\"elementor-toggle-icon-opened\"><svg class=\"elementor-toggle-icon-opened e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n      <\/span>\n      <a class=\"elementor-toggle-title\" tabindex=\"0\">Does removing an endometrioma always help fertility?<\/a>\n    <\/h3>\n    <div id=\"elementor-tab-content-87006\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"6\" role=\"region\" aria-labelledby=\"elementor-tab-title-87006\"><p><span style=\"font-weight: 400;\">Not automatically. Surgery can improve pelvic anatomy but can also reduce ovarian reserve further in some cases. The decision is individualised, weighing cyst size and behaviour against your age and fertility plans.<\/span><\/p><\/div>\n  <\/div>\n  <div class=\"elementor-toggle-item\">\n    <h3 id=\"elementor-tab-title-87007\" class=\"elementor-tab-title\" data-tab=\"7\" role=\"button\" aria-controls=\"elementor-tab-content-87007\" aria-expanded=\"false\">\n      <span class=\"elementor-toggle-icon elementor-toggle-icon-right\" aria-hidden=\"true\">\n        <span class=\"elementor-toggle-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n        <span class=\"elementor-toggle-icon-opened\"><svg class=\"elementor-toggle-icon-opened e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n      <\/span>\n      <a class=\"elementor-toggle-title\" tabindex=\"0\">I've always had bad periods, could it be endometriosis?<\/a>\n    <\/h3>\n    <div id=\"elementor-tab-content-87007\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"7\" role=\"region\" aria-labelledby=\"elementor-tab-title-87007\"><p><span style=\"font-weight: 400;\">It's worth having assessed, especially if the pain doesn't respond to standard pain relief, disrupts your life, or comes with pain during sex or bowel\/bladder symptoms around your period. Delaying assessment can make treatment less effective.<\/span><\/p><\/div>\n  <\/div>\n  <div class=\"elementor-toggle-item\">\n    <h3 id=\"elementor-tab-title-87008\" class=\"elementor-tab-title\" data-tab=\"8\" role=\"button\" aria-controls=\"elementor-tab-content-87008\" aria-expanded=\"false\">\n      <span class=\"elementor-toggle-icon elementor-toggle-icon-right\" aria-hidden=\"true\">\n        <span class=\"elementor-toggle-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n        <span class=\"elementor-toggle-icon-opened\"><svg class=\"elementor-toggle-icon-opened e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n      <\/span>\n      <a class=\"elementor-toggle-title\" tabindex=\"0\">Does 'mild' endometriosis mean my fertility is fine?<\/a>\n    <\/h3>\n    <div id=\"elementor-tab-content-87008\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"8\" role=\"region\" aria-labelledby=\"elementor-tab-title-87008\"><p><span style=\"font-weight: 400;\">Not necessarily. The amount of visible disease doesn't always correlate with how fertility is actually affected. Age, symptoms, ovarian reserve and how long you've been trying matter more than the grade alone.<\/span><\/p><\/div>\n  <\/div>\n  <div class=\"elementor-toggle-item\">\n    <h3 id=\"elementor-tab-title-87009\" class=\"elementor-tab-title\" data-tab=\"9\" role=\"button\" aria-controls=\"elementor-tab-content-87009\" aria-expanded=\"false\">\n      <span class=\"elementor-toggle-icon elementor-toggle-icon-right\" aria-hidden=\"true\">\n        <span class=\"elementor-toggle-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n        <span class=\"elementor-toggle-icon-opened\"><svg class=\"elementor-toggle-icon-opened e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n      <\/span>\n      <a class=\"elementor-toggle-title\" tabindex=\"0\">Should I get my ovarian reserve tested if I have endometriosis?<\/a>\n    <\/h3>\n    <div id=\"elementor-tab-content-87009\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"9\" role=\"region\" aria-labelledby=\"elementor-tab-title-87009\"><p><span style=\"font-weight: 400;\">It's a reasonable question to raise, particularly if an endometrioma is present or you're weighing a decision about surgery. Tests like AMH estimate egg quantity, not quality, and are most useful when they answer a specific planning question.<\/span><\/p><\/div>\n  <\/div>\n  <div class=\"elementor-toggle-item\">\n    <h3 id=\"elementor-tab-title-87010\" class=\"elementor-tab-title\" data-tab=\"10\" role=\"button\" aria-controls=\"elementor-tab-content-87010\" aria-expanded=\"false\">\n      <span class=\"elementor-toggle-icon elementor-toggle-icon-right\" aria-hidden=\"true\">\n        <span class=\"elementor-toggle-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n        <span class=\"elementor-toggle-icon-opened\"><svg class=\"elementor-toggle-icon-opened e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n      <\/span>\n      <a class=\"elementor-toggle-title\" tabindex=\"0\">Do I need a GP referral to see a gynaecologist about endometriosis and fertility?<\/a>\n    <\/h3>\n    <div id=\"elementor-tab-content-87010\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"10\" role=\"region\" aria-labelledby=\"elementor-tab-title-87010\"><p><span style=\"font-weight: 400;\">No. You can book directly with EC Clinic for a gynaecological or fertility assessment.<\/span><\/p><\/div>\n  <\/div>\n<\/div>\n\n<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"Can I get pregnant if I have endometriosis?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Many women with endometriosis conceive naturally. 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Age, symptoms, ovarian reserve and how long you've been trying matter more than the grade alone.\"}},{\"@type\":\"Question\",\"name\":\"Should I get my ovarian reserve tested if I have endometriosis?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"It's a reasonable question to raise, particularly if an endometrioma is present or you're weighing a decision about surgery. Tests like AMH estimate egg quantity, not quality, and are most useful when they answer a specific planning question.\"}},{\"@type\":\"Question\",\"name\":\"Do I need a GP referral to see a gynaecologist about endometriosis and fertility?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"No. You can book directly with EC Clinic for a gynaecological or fertility assessment.\"}}]}<\/script>\n<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":[\"Article\",\"MedicalWebPage\"],\"headline\":\"Endometriosis and Fertility: The Questions Dublin Women Actually Ask\",\"description\":\"Can you get pregnant with endometriosis? A Dublin gynaecologist explains the types of endometriosis, how they affect fertility, and what actually helps.\",\"inLanguage\":\"en-IE\",\"datePublished\":\"2026-10-09\",\"dateModified\":\"2026-10-09\",\"lastReviewed\":\"2026-10-09\",\"mainEntityOfPage\":\"https:\/\/www.ecclinic.ie\/posts\/endometriosis-fertility-dublin\/\",\"about\":{\"@type\":\"MedicalCondition\",\"name\":\"Endometriosis\"},\"author\":{\"@type\":\"Physician\",\"name\":\"Dr. Eliana Casta\u00f1eda\"},\"reviewedBy\":{\"@type\":\"Physician\",\"name\":\"Dr. Eliana Casta\u00f1eda\"},\"publisher\":{\"@type\":\"MedicalClinic\",\"name\":\"EC Clinic\",\"url\":\"https:\/\/www.ecclinic.ie\/\"}}<\/script>\n<\/div>\n\n<div class=\"ec-blog-sources\">\n<h2 class=\"elementor-heading-title elementor-size-default\">Sources and evidence<\/h2>\n<ul>\n  <li><span style=\"font-weight: 400;\">HSE. <a href=\"https:\/\/www2.hse.ie\/conditions\/endometriosis\/\" target=\"_blank\" rel=\"noopener noreferrer\">Endometriosis \u2014 symptoms and overview<\/a>; affects up to 1 in 7 women and girls in Ireland.<\/span><\/li>\n  <li><span style=\"font-weight: 400;\">HSE. <a href=\"https:\/\/www2.hse.ie\/conditions\/endometriosis\/diagnosis\/\" target=\"_blank\" rel=\"noopener noreferrer\">Endometriosis \u2014 diagnosis pathway<\/a>, including GP assessment, trial of treatment, ultrasound and laparoscopy.<\/span><\/li>\n  <li><span style=\"font-weight: 400;\">American Society for Reproductive Medicine (ASRM) \/ ReproductiveFacts.org. <a href=\"https:\/\/www.reproductivefacts.org\/browse-all-topics\/Endometriosis-topic\/\" target=\"_blank\" rel=\"noopener noreferrer\">Patient education on endometriosis and fertility<\/a>.<\/span><\/li>\n<\/ul>\n<\/div>\n\n<div class=\"ec-blog-cta\">\n  <p class=\"ec-blog-cta__lead\">Book a consultation at EC Clinic<\/p>\n  <p class=\"ec-blog-cta__contact\">\n    <a href=\"tel:+35319125590\">01 912 5590<\/a><span class=\"ec-blog-cta__sep\">\u00b7<\/span><a href=\"\/reproductive-health-consultation\/\">Book Online<\/a><span class=\"ec-blog-cta__sep\">\u00b7<\/span><a href=\"mailto:info@ecclinic.ie\">info@ecclinic.ie<\/a>\n  <\/p>\n  <p class=\"ec-blog-cta__details\">No GP referral needed \u00b7 Written clinical report \u00b7 EN \u00b7 ES \u00b7 PT \u00b7 See <a href=\"\/price-list\/\">price list<\/a> \u00b7 <a href=\"\/contact-us\/\">Contact<\/a> \u00b7 VHI \u00b7 Laya \u00b7 Irish Life Health<\/p>\n  <p class=\"ec-blog-cta__address\">Trinity Central, 152-160 Pearse Street, Dublin 2, D02 Y8N7<\/p>\n<\/div>\n\n<\/div>\n\n<script>\n  (function () {\n    var widget = document.querySelector(\".ec-blog-widget\");\n    if (!widget) return;\n    widget.querySelectorAll(\".elementor-tab-title\").forEach(function (title) {\n      title.addEventListener(\"click\", function () {\n        var item = this.closest(\".elementor-toggle-item\");\n        var content = item.querySelector(\".elementor-tab-content\");\n        var isActive = this.classList.contains(\"elementor-active\");\n        widget.querySelectorAll(\".elementor-tab-title\").forEach(function (t) {\n          t.classList.remove(\"elementor-active\");\n          t.setAttribute(\"aria-expanded\", \"false\");\n        });\n        widget.querySelectorAll(\".elementor-tab-content\").forEach(function (c) {\n          c.style.display = \"none\";\n        });\n        if (!isActive) {\n          this.classList.add(\"elementor-active\");\n          this.setAttribute(\"aria-expanded\", \"true\");\n          content.style.display = \"block\";\n        }\n      });\n    });\n  })();\n<\/script>\n\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Quick answer Endometriosis affects up to 1 in 7 women and girls in Ireland, and its relationship with fertility is more nuanced than \u201cendometriosis causes infertility.\u201d Many women with endometriosis conceive without any assistance at all. Others face real difficulty, particularly with more extensive disease. What actually matters for fertility is the type and severity [&hellip;]<\/p>\n","protected":false},"author":10,"featured_media":5182,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":"","_members_access_role":[],"_members_access_error":""},"categories":[46],"tags":[],"class_list":["post-5186","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-posts"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Endometriosis and Fertility Dublin: What Helps | EC Clinic<\/title>\n<meta name=\"description\" content=\"Can you get pregnant with endometriosis? 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A Dublin gynaecologist explains the types of endometriosis, how they affect fertility, and what actually helps.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ecclinic.ie\/pt\/postos\/endometriosis-fertility-dublin\/\" \/>\n<meta property=\"og:site_name\" content=\"EC Clinic\" \/>\n<meta property=\"article:published_time\" content=\"2026-10-08T08:00:11+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-10-08T17:08:40+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.ecclinic.ie\/wp-content\/uploads\/2026\/10\/EC-Clinic-Endometriosis-Fertility.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"1400\" \/>\n\t<meta property=\"og:image:height\" content=\"933\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/webp\" \/>\n<meta name=\"author\" content=\"Dr. Eliana Casta\u00f1eda\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Dr. Eliana Casta\u00f1eda\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tempo estimado de leitura\" \/>\n\t<meta name=\"twitter:data2\" content=\"11 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.ecclinic.ie\\\/posts\\\/endometriosis-fertility-dublin\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.ecclinic.ie\\\/posts\\\/endometriosis-fertility-dublin\\\/\"},\"author\":{\"name\":\"Dr. Eliana Casta\u00f1eda\",\"@id\":\"https:\\\/\\\/www.ecclinic.ie\\\/pt\\\/#\\\/schema\\\/person\\\/928ba7fd4758814ff357e60ee6ae6a54\"},\"headline\":\"Endometriosis and Fertility: The Questions Dublin Women Actually Ask\",\"datePublished\":\"2026-10-08T08:00:11+00:00\",\"dateModified\":\"2026-10-08T17:08:40+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.ecclinic.ie\\\/posts\\\/endometriosis-fertility-dublin\\\/\"},\"wordCount\":2422,\"publisher\":{\"@id\":\"https:\\\/\\\/www.ecclinic.ie\\\/pt\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.ecclinic.ie\\\/posts\\\/endometriosis-fertility-dublin\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.ecclinic.ie\\\/wp-content\\\/uploads\\\/2026\\\/10\\\/EC-Clinic-Endometriosis-Fertility.webp\",\"articleSection\":[\"Posts\"],\"inLanguage\":\"pt-PT\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.ecclinic.ie\\\/posts\\\/endometriosis-fertility-dublin\\\/\",\"url\":\"https:\\\/\\\/www.ecclinic.ie\\\/posts\\\/endometriosis-fertility-dublin\\\/\",\"name\":\"Endometriosis and Fertility Dublin: What Helps | EC Clinic\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.ecclinic.ie\\\/pt\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.ecclinic.ie\\\/posts\\\/endometriosis-fertility-dublin\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/www.ecclinic.ie\\\/posts\\\/endometriosis-fertility-dublin\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.ecclinic.ie\\\/wp-content\\\/uploads\\\/2026\\\/10\\\/EC-Clinic-Endometriosis-Fertility.webp\",\"datePublished\":\"2026-10-08T08:00:11+00:00\",\"dateModified\":\"2026-10-08T17:08:40+00:00\",\"description\":\"Can you get pregnant with endometriosis? 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