
I am 21 years old and had a laparoscopy for endometriosis. The surgeon said it is minimal and was found mostly in the ligaments supporting my uterus. Both he and my obstetrician have encouraged me to become pregnant as soon as possible. I do want to be a mother, but not now. Please explain infertility associated with endometriosis?
A child is such a major commitment and such an intense life-long undertaking that no one should be pressured into pregnancy. Even the spectre of possible future infertility should not hurry this important decision.
Endometriosis, even severe cases, doesn't always result in infertility, and the degree of disease has no bearing on fertility either. If you let this go in favor of waiting, new implants may form -- or they may not. Even if they do, there is no indication that they will lead to infertility.
I wouldn't consider this in my decision about timing for parenting. There are treatments for endometriosis that interfere with fertility and cycling, but only while they are being taken. If indicated, I would consider using these. They may preserve your fertility so you can have a baby later.
The obligation of "informed consent" requires that you be told that this condition may result in impairment of fertility, but it doesn't give care providers the prerogative of encouraging you to become pregnant earlier than you wish.
Good luck. I hope that if and when you decide to become pregnant, it happens with ease. Although there are no guarantees of future fertility, parenting should only be entered into with sincere eagerness and readiness.



