Double board certified OBGYN and REI discusses endometriosis and the fertility options if you have endometriosis. Endometriosis is under-diagnosed because the diagnosis requires surgery. It also presents differently in every person, and its impact on fertility can be varied. Different fertility treatments work best for different cases, and those options are broken down in this video.

Questions Answered:
What is endometriosis?
Where can endometriosis be located?
How is endometriosis graded?
How common is endometriosis?
How is endometriosis diagnosed?
How does endo impact your fertility?
What are fertility treatment options for endo?
Does surgery improve IVF outcomes?
What IVF protocol is best?

Resources:
Lee D, Kim SK, Lee JR, Jee BC. Management of endometriosis-related infertility: Considerations and treatment options. Clin Exp Reprod Med. 2020 Mar;47(1):1-11. doi: 10.5653/cerm.2019.02971. Epub 2020 Feb 24. Erratum in: Clin Exp Reprod Med. 2020 Jun;47(2):153. PMID: 32088944; PMCID: PMC7127898.

Bishop LA, Gunn J, Jahandideh S, Devine K, Decherney AH, Hill MJ. Endometriosis does not impact live-birth rates in frozen embryo transfers of euploid blastocysts. Fertil Steril. 2021 Feb;115(2):416-422. doi: 10.1016/j.fertnstert.2020.07.050. Epub 2020 Sep 21. PMID: 32972732.

Steiner N, Shrem G, Tannus S, Dahan SY, Balayla J, Volodarsky-Perel A, Tan SL, Dahan MH. Effect of GnRH agonist and letrozole treatment in women with recurrent implantation failure. Fertil Steril. 2019 Jul;112(1):98-104. doi: 10.1016/j.fertnstert.2019.03.021. Epub 2019 May 24. PMID: 31133384.

Zhong C, Gao L, Shu L, Hou Z, Cai L, Huang J, Liu J, Mao Y. Analysis of IVF/ICSI Outcomes in Endometriosis Patients With Recurrent Implantation Failure: Influence on Cumulative Live Birth Rate. Front Endocrinol (Lausanne). 2021 Jul 30;12:640288. doi: 10.3389/fendo.2021.640288. PMID: 34393990; PMCID: PMC8362597.

Piedimonte S, Volodarsky-Perel A, Tannus S, Tan SL, Dahan MH. Pretreatment with a gonadotropin-releasing hormone agonist and an aromatase inhibitor may improve outcomes in in vitro fertilization cycles of women with stage I-II endometriosis. F S Sci. 2020 Aug;1(1):98-103. doi: 10.1016/j.xfss.2020.06.005. Epub 2020 Jul 4. PMID: 35559744.


Jaafar SH, Sallam HN, Arici A, Garcia‐Velasco JA, Abou‐Setta AM. Long‐term GnRH agonist therapy before in vitro fertilization (IVF) for improving fertility outcomes in women with endometriosis. Cochrane Database Syst Rev. 2019 Jan 8;2019(1):CD013240. doi: 10.1002/14651858.CD013240. PMCID: PMC6353287.

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Fertility doctor, Natalie Crawford, MD is a double board certified OBGYN and REI, and co-founder of Fora Fertility, a boutique fertility practice in Austin, Texas.

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Sharing fertility facts to educate women about trying to conceive, getting pregnant, ovulation, fertility treatments, IUI, IVF, becoming a doctor, life as a woman in medicine, and more.