Endometriosis, Fertility & When to Consider Surgery — Q&A with Dr. Laurence Orbuch
Trying to conceive while managing endometriosis can feel like chasing clarity in a system that often downplays your pain, delays your answers, or pushes you toward IVF without a full picture. That’s why I invited Dr. Laurence Orbuch—Beverly Hills-based endometriosis specialist and excision surgeon—to join our free fertility support group for a live Q&A.
We talked about excision vs. ablation, endometriosis staging, adenomyosis, surgical timing, FET protocols, and more. Whether you're trying to avoid surgery, unsure how to sequence treatment, or simply want your symptoms taken seriously, this conversation is for you.
Watch the full Q&A below:
Key Questions We Covered
What endometriosis is and why most people misunderstand its origin
Excision vs. ablation: what the difference really is and why it matters
How endometriosis can impact egg quality, inflammation, and implantation
MRI accuracy, when to order imaging, and how to use ReceptivaDx
When to consider excision before IVF or FET and when to freeze eggs first
Why Lupron is sometimes helpful before a cycle but not a long-term treatment
How silent or “asymptomatic” endo can still affect fertility
How staging doesn’t predict fertility outcomes
Why multidisciplinary care (GI, pelvic floor PT, etc.) is often necessary
When natural conception is possible, even with endometriosis
What to consider if symptoms return post-surgery
Real patient questions about miscarriage, FET planning, Lupron protocols, and egg quality
Whether you're early in your journey or feeling stuck after failed cycles, this conversation offers real, actionable insight grounded in compassion and expertise.
