This depends on the cause of the pain. Some conditions, such as endometriosis or pelvic inflammatory disease, can also make it more difficult for you to conceive (PRODIGY 2006). In both cases, scarring and adhesions can block the fallopian tubes making it difficult or impossible for a sperm and egg to meet naturally. Modern fertility treatments can increase your chances of conceiving but it is best to seek help sooner rather than later. Your doctor can refer you to a specialist for further investigation and treatment.