Advanced Laparoscopic Care and Tailored IVF Protocols at Akanksha IVF Centre
Endometriosis affects approximately 1 in 10 women of reproductive age and is one of the most significant causes of infertility in India. At Akanksha IVF Centre, Janakpuri, New Delhi, Dr. K.D. Nayar offers expert diagnosis and a carefully personalised treatment plan for women with endometriosis — combining laparoscopic surgery and advanced IVF protocols to maximise your chances of pregnancy.
Endometriosis is a condition where tissue similar to the uterine lining (endometrium) grows outside the uterus — on the ovaries, fallopian tubes, bowel, or bladder. This misplaced tissue responds to monthly hormonal changes, causing internal bleeding, inflammation, scar tissue (adhesions), and cysts on the ovaries called endometriomas (chocolate cysts).
Endometriosis causes infertility by damaging egg quality, blocking fallopian tubes, creating a hostile environment inside the pelvis, and reducing ovarian reserve through repeated cyst formation.
Keyhole (laparoscopic) surgery to remove endometriotic lesions, drain and excise chocolate cysts, and free adhesions can significantly improve fertility — especially in younger women or those with mild to moderate disease. Surgery is performed at Mata Chanan Devi Hospital, Janakpuri, with full specialist backup.
Important note: In women with endometriomas before IVF, surgery must be carefully considered. Removing ovarian cysts always carries some risk to ovarian reserve. Dr. Nayar evaluates each case individually — surgery is not always recommended before IVF.
IVF is highly effective for endometriosis-related infertility, especially in moderate to severe cases, women over 35, or after failed surgery. IVF bypasses the pelvic environment entirely — eggs are retrieved from the ovaries and fertilised in the laboratory, eliminating the effect of endometriosis on natural fertilisation.
At Akanksha IVF Centre, we use specially adapted stimulation protocols for endometriosis patients to protect ovarian reserve and optimise egg quality — including long downregulation protocols when appropriate.
In selected cases of severe endometriosis, a 1–3 month course of GnRH agonist injections before starting IVF stimulation can reduce endometriotic activity and significantly improve IVF success rates. Dr. Nayar will advise if this is appropriate for your case.
For endometriosis patients where the uterine environment may be inflamed during a fresh cycle, we sometimes recommend freezing all embryos and doing a Frozen Embryo Transfer (FET) in a separate, prepared cycle — improving implantation rates.
IVF success rates in women with endometriosis are generally slightly lower than in women without the condition — mainly due to reduced egg quality and ovarian reserve. However, with an experienced specialist and optimised protocol, many women with endometriosis achieve pregnancy through IVF. Women with endometriomas are advised to have their ovarian reserve (AMH, AFC) assessed carefully before deciding on treatment.
Not always. For small endometriomas (under 4cm) in women with good ovarian reserve, Dr. Nayar may recommend proceeding directly to IVF without surgery to protect ovarian reserve. For larger cysts, symptomatic disease, or blocked tubes, surgery first may be advised. This is a key decision that must be made with an experienced specialist.
Yes. Endometriosis — particularly endometriomas — can reduce ovarian reserve and impair egg quality over time. Early treatment and careful planning with an experienced fertility specialist gives the best outcomes.
No. Many women with mild endometriosis conceive naturally. However, moderate to severe endometriosis significantly reduces natural fertility, and treatment — whether surgical, medical, or IVF — is usually required.
Yes. Endometriosis has a recurrence rate of 20–30% within 5 years of surgery. This is why in women who wish to have children, IVF after initial surgery — or IVF without surgery — is often the more practical strategy.