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If you have endometriosis, you may be wondering how it will affect your fertility and if you will be able to become pregnant. According to Pennsylvania State College, endometriosis affects between 7 and 15 percent of women between 25 and 44 years old. This condition may run in families, meaning you are more likely to have endometriosis if your mother or your sister has this condition. Endometriosis occurs when cells that normally line the inside of the uterus begin growing outside the uterus.