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The Evewell

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The Evewell

The Evewell is dedicated to providing patient-centered care for gynaecological and reproductive health, from our locations on Harley Street and in West London.

12/03/2026

Should endometriosis be treated before IVF?

The answer depends on the individual. In some cases, surgery to remove endometriosis lesions or cysts may improve pelvic anatomy or reduce pain, but surgery also carries risks, particularly to ovarian tissue. Removing an ovarian endometrioma may reduce egg reserve, so decisions must be carefully balanced.

In other situations, a period of medical suppression may be recommended before IVF. This involves using hormone therapy for several weeks or months to reduce inflammation and improve the uterine environment before embryo transfer.

The best approach is always personalised, based on:

• The stage of endometriosis
• Symptoms such as pain
• Previous surgeries
• Age and ovarian reserve
• IVF history, if treatment has been attempted before

At The Evewell West London, time is taken to evaluate all aspects of reproductive health before recommending the next step.

11/03/2026

Endometriosis treatment is never one-size-fits-all. Treatment depends on symptoms, fertility goals, and severity. Options may include:

• Hormonal suppression before IVF may help reduce inflammation and improve the uterine environment before embryo transfer.
• Laparoscopic surgery
• Fertility treatment such as IVF

The best approach is always personalised, based on symptoms, stage, age, ovarian reserve and treatment history.

09/03/2026

IVF is not always the first step with endometriosis, but it may be recommended in certain circumstances, such as:

• Endometriosis is severe
• Fallopian tubes are blocked or damaged
• Ovarian reserve is reduced
• You’ve been trying for more than 6 months
• Other factors are involved, such as male factor infertility
• Surgery has not resulted in pregnancy

IVF can be particularly helpful because it bypasses the fallopian tubes and allows fertilisation to happen in a controlled environment.

08/03/2026

No two fertility journeys respond in exactly the same way, even if the patient is the same.

Dr Nikolaos Blontzos explains why personalised treatment plans are so important, even for the same patient from one cycle to the next.

Age, ovarian reserve and how the body responds to medication can vary month by month, which is why treatment needs to be adapted, adjusted and reviewed at every stage rather than following a one-size-fits-all approach.

07/03/2026

One of the most frequently searched questions, and understandably so.
Research suggests mild endometriosis has little impact on IVF outcomes.

Whereas moderate to severe endometriosis can sometimes be linked with slightly lower success rates, particularly if ovarian function is affected.

Endometriomas, cysts on the ovaries, may reduce egg numbers during stimulation. Inflammation may also play a role.

However, many patients with endometriosis go on to have successful IVF pregnancies, especially with tailored treatment.

06/03/2026

Endometriosis can take years to diagnose.⁠
⁠
Endometriosis is often missed or misdiagnosed, and many patients spend years searching for answers. Many patients are initially told their symptoms are simply part of a normal cycle.⁠
⁠
One reason is that symptoms vary widely. Some experience severe pain, others have fatigue, bowel symptoms, painful in*******se, or difficulty conceiving, while some have very few symptoms at all.⁠
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If you feel something isn’t right, or if you’re not getting anywhere with your GP, seeking specialist assessment can be an important step.

04/03/2026

One of the most common questions we hear is, can you get pregnant naturally with endometriosis?⁠
For many patients, the answer is yes, particularly with milder forms of the condition.⁠
⁠
However, if you have been trying for 6 to 12 months without success, or if symptoms are severe, it may be worth seeking specialist advice sooner.

03/03/2026

Endometriosis occurs when tissue similar to the womb lining grows outside the uterus, often around the ovaries, fallopian tubes, bowel or pelvic lining.

This tissue responds to hormonal changes each month, which can lead to inflammation, scarring and pain.

When it comes to fertility, endometriosis may:
• Cause adhesions that affect egg and s***m movement
• Impact ovarian function
• Be linked with changes in egg quality or the uterine environment

But outcomes vary greatly from person to person.

02/03/2026

Five stars, and the kindest words 🤍

We are so proud of our team for creating a safe, supportive space for every patient who walks through our doors. Helping protect embryos for the future and supporting families as they grow is something we never take lightly.

01/03/2026

Endometriosis affects 1 in 10 women, yet many people experience years of uncertainty before receiving answers.

During Endometriosis Awareness Month, we want to share clear, compassionate fertility information for anyone navigating this condition while trying to conceive.

This month, Dr Nikolaos Blontzos shares what you need to know about endometriosis, IVF, and the support available.

Read the full blog now via the link in bio.

27/02/2026

Stories like this mean everything to us 🤍

IVF can be physically and emotionally demanding, and we never underestimate the strength it takes to walk that path. We are so grateful our team could provide compassionate, personalised care throughout their treatment.

Thank you to all our patients for trusting us with your family building dreams.

25/02/2026

Having does not automatically mean is your only option.

Dr Nikolaos Blontzos explains why PCOS is a common cause of subfertility, but not the same as infertility, and how lifestyle changes and simpler treatments are often the first step.

He explains why IVF is usually considered later and how understanding your individual diagnosis helps shape a plan that feels informed, proactive, and right for you.

Address

61 Harley Street
London
W1G8QU

Opening Hours

Monday	8am - 6pm
Tuesday	8am - 6pm
Wednesday	8am - 6pm
Thursday	8am - 6pm
Friday	8am - 6pm

Website

http://www.evewell.com/

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