Endometriosis and Fertility Preservation: What Patients Need from Healthcare Providers

Alec Webster, Rebecca O’Hara, Cecilia Ng, Catherine Broomfield, E Nesbitt-Hawes, Jason Abbott, Van Niekerk, Leesa
In: Women's Reproductive Health · 2026 · pp. 1–18 · doi:10.1080/23293691.2026.2750366 · W7224619194
Qualitative OA: hybrid CC0
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An analysis of 22 individuals with endometriosis revealed pervasive fertility concerns and identified a need for accessible, inclusive, person-centered interdisciplinary care to improve reproductive autonomy.

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Abstract

Existing research on endometriosis and fertility-related care has highlighted an emphasis on fertility preservation above other healthcare outcomes, leading to a loss of reproductive autonomy. Guided by a critical realist lens, we sought to understand what individuals with endometriosis (n = 22) require from their healthcare providers when considering fertility-related concerns and preservation. Inductive, reflexive thematic analysis identified that fertility concerns were pervasive and resulted in uncertainty and fertility-related healthcare encounters encompassed both supportive and distressing experiences. Participants identified the need for accessible, inclusive, and person-centered interdisciplinary care that moves beyond siloed and fertility-centric approaches and improves reproductive autonomy.

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last seen: 2026-11-07T06:05:52.158007+00:00
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