Infertility and endometriosis: a case of successful pregnancy without treatment

In September 2022, a 30-year-old woman presented herself at the clinic for a pelvic ultrasound examination.

The patient reported a failure to conceive for a duration of 4 years. She mentioned having only one sexual partner, but their sexual activity was irregular.

Medical History:

  • The patient had been married for 6 years at the time of presentation, during which they did not use any form of contraception for 4 years.
  • She first sought assistance for infertility in 2019 and underwent examination at a gynecological consultation.
  • Test results included Anti-Müllerian hormone (AMH), Follicle-stimulating hormone (FSH), Thyroid-stimulating hormone (TSH), Prolactin, and Luteinizing hormone (LH).
  • Ultrasound examination findings of the pelvic organs were reported.
  • Tubal patency assessment was not conducted.
  • Details regarding the patient’s partner, including age, semen analysis, MAR test, and karyotype, were provided.

Ultrasound findings indicated the presence of single-chamber formations in the right ovary, consistent with endometriomas. The Ovarian-Adnexal Reporting and Data System (O-RADS II) classification suggested a benign process, with a risk of malignancy less than 1%.


  • The patient’s follicle growth was monitored using ultrasound.
  • Recommendations were provided to the patient regarding sexual activity and next steps if pregnancy did not occur.

Detailed findings from the pelvic ultrasound examination were outlined, including observations regarding the uterus, endometrium, right and left ovaries. No volumetric formations were detected in the pelvis.

This clinical case underscores the significance of monitoring follicle maturation and accurately determining the ovulation date, as it facilitated the patient’s conception without the need for any treatment or assisted reproductive technologies.