Can Endometriosis Be Treated During the Same Trip as Your IVF Cycle?

For patients traveling to Brazil for fertility treatment, combining endometriosis management with an IVF cycle is a question worth asking early. Endometriosis affects roughly 1 in 10 women of reproductive age and is one of the most common contributors to infertility, yet many patients don’t realize the condition may be addressable as part of a coordinated treatment plan. Whether this approach makes sense depends on the severity of the condition, the presence of ovarian cysts, and what your reproductive team determines is best for your individual case.

At Chedid Grieco, we work with each patient to build a personalized plan that accounts for every layer of their reproductive health, including endometriosis and how it may be affecting their chances of conceiving. With more than 30 years of experience and a full-service laboratory in São Paulo, Brazil, our team is positioned to evaluate, advise on, and coordinate multiple treatment needs during a single visit, helping patients from the United States and beyond make the most of their time in Brazil.

How Endometriosis Affects IVF Outcomes

Endometriosis occurs when tissue similar to the uterine lining grows outside the uterus, often affecting the ovaries, fallopian tubes, and surrounding pelvic structures. This can interfere with egg quality, embryo implantation, and overall reproductive function. According to the National Institutes of Health, if pregnancy does not occur after laparoscopic treatment, IVF may be the best option to improve fertility, and the two approaches are often considered together when planning care for patients with endometriosis-related infertility.

For patients with smaller endometriomas or mild disease, the decision to treat surgically before in vitro fertilization is more nuanced. Your care team will weigh the potential benefit of removing lesions against the risk of affecting ovarian reserve and recommend the approach most likely to support a successful outcome for your specific situation.

When Treating Endometriosis Before IVF Makes Sense

Not every patient with endometriosis needs surgical intervention before beginning an IVF cycle. However, there are clinical situations in which addressing the condition first may be the right call before proceeding with assisted reproduction.

Patients who may benefit from treating endometriosis before or alongside their IVF cycle include those in the following situations:

• Large Ovarian Endometriomas: Women with cysts typically greater than 4 cm may have limited follicle access during egg retrieval.
• Moderate to Severe Disease: Patients whose lesions may be interfering with uterine receptivity or pelvic anatomy are strong candidates for surgical evaluation before beginning a cycle.
• Significant Pelvic Adhesions: Those with scarring that could complicate an IVF procedure benefit from addressing adhesions before retrieval.
• Repeated IVF Failures: Patients who have experienced failed cycles with no other identified cause may find that surgical intervention reveals an underlying endometriosis-related factor.

Each situation is different, and a thorough evaluation before your cycle begins is the most important step in determining the right sequence of care.

What a Combined Treatment Plan Can Look Like

For patients traveling internationally, managing two separate trips, one for endometriosis surgery and one for IVF, can be both costly and physically demanding. In select cases, it may be possible to coordinate laparoscopy for endometriosis and subsequent IVF preparation within a single extended visit, depending on recovery timeline and your body’s response.

This kind of coordinated care requires thorough pre-travel planning, including diagnostic imaging and consultations completed before you arrive in Brazil. Our team reviews all available records in advance so we can map out a realistic and medically sound plan. Patients are encouraged to begin this conversation during their Miami consultation, where we can assess the full picture and set expectations for what the trip to São Paulo will involve.

Start the Conversation With Chedid Grieco

Chedid Grieco holds both FDA licensing and a New York Department of Health (NYDH) tissue license, making us one of only 8 fertility clinics outside the United States to carry this distinction. With 8,780 babies born, 1,200 cycles performed each year, and a multilingual team fluent in English, Spanish, Portuguese, and French, we bring boutique-level care to every patient who comes through our doors. Patients interested in learning more about traveling for treatment can review our fertility tourism information for a full picture of what to expect.

If you have endometriosis and are considering IVF, our team is ready to help you understand your options and build a plan that addresses both. Reach out through our contact form to schedule your consultation in Miami today.