Endometriosis Fertility

STRUGGLING TO CONCEIVE? ENDOMETRIOSIS MAY BE THE MISSING LINK

Endometriosis & Fertility: Diagnosis and Treatment Options

Endometriosis is one of the most common and often overlooked causes of infertility. At Advanced Fertility Center of Texas, we specialize in identifying and treating endometriosis-related infertility using a personalized, science-driven approach. Whether you have painful periods, unexplained fertility struggles, or a confirmed diagnosis, our team is here to help uncover the root cause and create a clear path forward.

UNDERSTANDING ENDOMETRIOSIS

What Is Endometriosis?

Endometriosis occurs when tissue similar to the uterine lining grows outside the uterus, often on the ovaries, fallopian tubes, or pelvic cavity. This tissue responds to hormonal changes, causing chronic inflammation, scarring, and pain, and it can significantly interfere with fertility.

  • Tissue grows outside the uterus in areas where it shouldn't be present
  • Common locations include ovaries, fallopian tubes, and pelvic cavity
  • Causes chronic inflammation and scarring throughout the reproductive system
  • Results in significant pain and fertility challenges
  • Many patients with endometriosis go undiagnosed for years, even after repeated failed attempts to conceive
Understanding endometriosis and its impact on fertility

UNDERSTANDING ENDOMETRIOSIS

How Endometriosis Affects Your Fertility Journey

Understanding the impact on your reproductive health:

Doctor explaining endometriosis effects on fertility

How Endometriosis Affects Fertility

Endometriosis may reduce your chances of getting pregnant in several ways:

  • Inflamed or blocked fallopian tubes
  • Ovarian cysts (endometriomas) that damage egg quality
  • Pelvic adhesions that distort reproductive anatomy
  • Inflammatory environment that prevents implantation
  • Hormonal disruption affecting ovulation and uterine receptivity

Common Symptoms (Even Without a Diagnosis)

Do any of these sound familiar?

  • Painful periods or heavy bleeding
  • Pelvic pain during sex or bowel movements
  • Chronic bloating or digestive issues
  • Difficulty getting pregnant despite regular cycles
  • Prior history of ovarian cysts, fibroids, or "unexplained infertility"
Even women with mild or "silent" endometriosis may have difficulty conceiving — especially if no other cause is found.

DIAGNOSIS & EVALUATION

How We Diagnose Endometriosis at AFCT

We use a combination of non-invasive and advanced diagnostic tools:

  • Pelvic ultrasound & Doppler imaging
  • Saline sonohysterogram (SIS)
  • Hysteroscopy or laparoscopy (when indicated)
  • Fertility hormone & inflammation testing
  • Ovarian reserve and egg quality evaluation

We also evaluate how endometriosis may be impacting implantation, egg development, and IVF outcomes.

ENDOMETRIOSIS TREATMENT

Fertility Treatment Options for Endometriosis at AFCT

At AFCT, we tailor your treatment based on your goals, age, symptoms, and severity of disease. We do not follow a one-size-fits-all protocol.

1

Minimally Invasive Treatment

Conservative approaches to manage endometriosis while preserving and optimizing fertility potential.

Treatment Options:

  • Hormonal support to regulate cycles and reduce inflammation
  • Strategic use of GnRH agonists or other medications to suppress endometrial activity before IVF
  • Anti-inflammatory protocols and antioxidant therapy through Lisanne Wellness
2

Fertility-Focused Surgery

We offer access to expert laparoscopic surgeons when removal of endometriosis lesions or cysts is needed to improve IVF or IUI outcomes.

Surgery is often considered for:

  • Endometriomas (ovarian cysts)
  • Tubal obstruction
  • Pelvic adhesions or frozen pelvis
  • Failed IVF due to suspected pelvic disease
3

IVF with Endometriosis-Specific Protocols

We treat many patients who have failed IVF elsewhere due to unrecognized or undertreated endometriosis.

Our Specialized Approach:

  • Freeze-All IVF cycles to bypass inflammation during fresh transfer
  • Tailored stimulation protocols to protect egg quality
  • Estrogen priming and thin lining support
  • Embryo biopsy with PGT-A when needed
4

Integrative Fertility Support

In collaboration with Lisanne Wellness Center, we offer functional and lifestyle-based support to reduce inflammation, optimize the uterine environment, and improve implantation outcomes.

Programs may include:

  • Anti-inflammatory nutrition
  • Endometrial microbiome support
  • Acupuncture and lymphatic drainage
  • Targeted supplement protocols

Take the Next Step

Trying to conceive with endometriosis? Learn how Advanced Fertility Center of Texas diagnoses and treats endometriosis-related infertility with IVF and wellness support.
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Scientific Research

Luteinizing hormone–independent rise of progesterone as the physiological trigger of the ovulatory gonadotropins surge in the human

Fertility and Sterility
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Recipient outcomes in an oocyte donation programme: should very young donors be excluded?

RBMO Oocyte Donation Programme
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