Endometriosis and fibroids are two of the most common structural reasons why conception takes longer. After endometriotic cyst removal, adhesions and reduced ovarian reserve can affect fertility, and any coexisting fibroid depends on its location (submucosal fibroids matter most, subserosal ones usually do not). A structured couple's workup is the best next step.
Next Steps
Please book a fertility specialist consultation. The workup typically includes
AMH and antral follicle count, day 2 or 3
FSH and
LH,
TSH,
prolactin, a repeat pelvic ultrasound to map any fibroid location and size, semen analysis for your partner, and an HSG or SSG to check tubal patency. Treatment can range from timed intercourse with ovulation induction to IUI or IVF depending on findings.
Health Tips
Please do not delay the workup, since ovarian reserve after endometriotic cyst removal tends to decline faster than the general average. Also avoid any "endometriosis-cure" alternative therapies without evidence.