Silent Endometriosis and Unexplained Infertility: What to Know

Quick answer: Silent endometriosis is endometriosis that causes little or no pain, so it often goes unnoticed until a couple has trouble conceiving. It can reduce fertility through pelvic inflammation, effects on eggs and sperm, tubal changes and a less receptive womb lining. Some women labelled with unexplained infertility have it. Treatment options include IUI, IVF and, in selected cases, laparoscopy.
Chronic Pelvic Pain from Endometriosis: Causes and Relief

Quick answer: Chronic pelvic pain from endometriosis is pain lasting six months or more, caused by inflammation, scarring and, over time, sensitised nerves and tight pelvic floor muscles. Relief usually needs a combined plan: hormonal treatment to quieten the disease, pain medicines, pelvic floor physiotherapy, psychological support and, in selected cases, laparoscopic excision of lesions.