
Making your decision
Discuss pain, previous surgery, ovarian reserve and pregnancy goals together. Not every endometrioma requires surgery before IVF; possible benefit and effects on reserve need consideration. Cyst size alone should not determine the plan.
Assess both partners
Fallopian tubes, ovulation, endometriosis, age and ovarian reserve matter alongside sperm count, movement and medical history. For unexplained infertility, previous treatments and the time spent trying also inform decisions. Urology or genetics input may be useful. Treating infertility as exclusively a woman’s problem gives an incomplete picture.
Ask at your consultation
If surgery is proposed, what problem would it address and how would it affect timing?
Preparing for your first appointmentSources and further reading
General information does not replace an individual diagnosis or treatment plan. Outcomes vary.




