Yes. Some people with endometriosis have little or no pain. They may first discover it during investigations for difficulty conceiving.

Endometriosis occurs when tissue similar to the uterine lining grows outside the uterus. It can cause inflammation, scar tissue and ovarian cysts called endometriomas.

Does no pain mean mild disease?

Not necessarily. Pain severity does not reliably reflect the extent of endometriosis. Comfortable periods do not rule it out.

Can it affect fertility?

Endometriosis may affect the ovaries, fallopian tubes and surrounding tissues, making conception more difficult. However, many people with endometriosis conceive naturally. Difficulty conceiving alone does not confirm the condition.

Can ultrasound detect it?

Ultrasound can identify endometriomas and some deep endometriosis, especially when performed by an experienced specialist. A normal scan does not exclude superficial endometriosis.

Does everyone need surgery?

No. Assessment may include medical history, examination and imaging. Laparoscopy may be considered in selected cases, but it is not always required before treatment.

If pregnancy is taking longer than expected, discuss a fertility assessment for both partners. Your care should reflect your age, test results and pregnancy goals—not pain alone.

Longevity Fertility Centre