Ep 299: The Endometriosis Dilemma:Treatment, Timing, and Tough Decisions

Fertility Docs Uncensored is hosted by Dr. Carrie Bedient from the Fertility Center of Las Vegas , Dr. Susan Hudson from Texas Fertility Center , and Dr. Abby Eblen from Nashville Fertility Center . In this listener question episode, the Fertility Docs take on some of the most common and complex questions about endometriosis and fertility treatment options. Patients often wonder whether to pursue testing like the ReceptivaDx assay, when to consider IVF over other treatments, and how many IUI cycles to try before taking a more aggressive approach. The docs discuss how the right path depends on factors such as the severity of disease, the presence of endometriomas or deep implants, and each patient’s family-building goals. They also talk about surgery for endometriosis—when it can help, and when it might cause more harm than good. While surgery may relieve pain, it can sometimes reduce ovarian reserve by damaging nearby eggs. For patients whose main goal is conception, moving toward IVF may be the best option. Chronic pain, however, can often be managed with medications like Depo-Lupron. Ultimately, the Fertility Docs emphasize that for those with endometriosis who want children, timing and strategy are everything. Acting sooner rather than later can improve the chances of success and make room for definitive treatment later on. This podcast was sponsored by US Fertility.