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.
Frequently Asked Questions
What is the difference between excision and ablation for endometriosis?
Dr. Orbuch, a Beverly Hills endometriosis specialist and excision surgeon, covers what the difference really is and why it matters, along with when excision may be worth considering before IVF or a frozen embryo transfer.
Can endometriosis affect fertility even without symptoms?
Yes. In this Q&A, silent or asymptomatic endometriosis can still affect fertility, and staging does not predict fertility outcomes. The conversation also covers how endometriosis can affect egg quality, inflammation, and implantation.
Is natural conception possible with endometriosis?
The Q&A addresses when natural conception is possible even with endometriosis, along with MRI accuracy, ReceptivaDx, and why Lupron is sometimes helpful before a cycle but not as a long-term treatment.
Related Reading
- Fertility Q&A with Dr. Rahi Victory
- Fertility Q&A with Dr. Sheeva Talebian of CCRM New York
- Fertility Q&A with Dr. Kelly Baek
Request an Appointment or learn more about infertility counseling.
