5 Ways Endometriosis Impacts Fertility: What You Need to Know Now
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- Опубликовано: 7 июл 2024
- Endometriosis is a common but often misunderstood condition that can impact fertility. Are you struggling to conceive and have endometriosis? This video is for you! In this video, I break down the complex relationship between endometriosis and infertility.
In this video, I'll cover:
• What is endometriosis?
• How common is endometriosis?
• Does endometriosis cause infertility?
• Theories of how endometriosis affects fertility
• My advice for patients and how to talk to your doctor about concerns.
▶️ Understanding Endometriosis Symptoms And Signs: • Learn WHY Endometriosi...
🎬 Chapters:
____________
0:00 Introduction
1:25 Topic 1: What is endometriosis?
2:17 Topic 2: How common is endometriosis, and how common is it impacting fertility?
4:39 Topic 3: Does endometriosis cause Infertility?
6:31 Topic 4: How does endometriosis cause Infertility?
11:35 Topic 5: How do I speak to my patients about endometriosis?
14:45 Conclusion
👉 Resources
ASRM Committee Opinion Endometriosis and Infertility
www.asrm.org/practice-guidanc...
Adhesions and Fertility
De Wilde RL, et al. Adhesions and endometriosis: challenges in subfertility management. Arch Gynecol Obstet. 2016; 294: 299-301.
www.ncbi.nlm.nih.gov/pmc/arti...
Hormonal Issues and Fertility with Endometriosis
Cahill DJ, et al. Ovarian dysfunction in endometriosis-associated and unexplained infertility. J Assist Reprod Genet. 1997 Nov;14(10):554-7.doi: 10.1023/a:1022568331845.
pubmed.ncbi.nlm.nih.gov/94474....
Immune dysfunction and endometriosis
www.ncbi.nlm.nih.gov/pmc/arti...
Miller J, et al. Implications of immune dysfunction on endometriosis associated infertility. Oncotarget. 2017 Jan 24; 8(4): 7138-7147.
Embryo development
Pellicer A, Oliveira N, Ruiz A, Remohi J, Simon C. Exploring the mechanism(s) of endometriosis-related infertility: an analysis of embryo development and implantation in assisted reproduction. Hum Reprod 1995;10(Suppl 2):91-7.
pubmed.ncbi.nlm.nih.gov/8745306/
Decreased egg quality
Weisen F, et al. Decreased oocyte quality in patients with endometriosis is closely related to abnormal granulosa cells
Front Endocrinol (Lausanne). 2023; 14: 1226687.
www.ncbi.nlm.nih.gov/pmc/arti...
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ABOUT : Lora Shahine, MD, is a double board certified reproductive endocrinologist and OBGYN currently practicing at Pacific NW Fertility in Seattle, WA. Originally from North Carolina, Dr. Shahine graduated with a Bachelor of Science in biology from Georgetown University in Washington, DC, and completed her training in medical school at Wake Forest University School of Medicine, residency in obstetrics and gynecology at the University of California at San Francisco, and fellowship in reproductive endocrinology and infertility at Stanford University.
As Clinical Assistant Professor at the University of Washington and Director of the Center of Recurrent Pregnancy Loss at Pacific NW Fertility, she is committed to providing excellence in patient care, teaching the next generation of women’s healthcare providers, and continuing research in the fields of fertility and recurrent miscarriage. She has published over 75 peer-reviewed research projects and is an active member of the American Society of Reproductive Medicine, Seattle Gynecology Society, and the Babyquest Fertility Grant organization. Dr. Shahine is an accomplished author including 'Planting the Seeds of Pregnancy: An Integrative Approach to Fertility Care' and best-selling book, 'Not Broken: An Approachable Guide to Miscarriage and Recurrent Pregnancy Loss.'
Whether through her research, books, lectures, or active social media presense Dr. Shahine is passionate about educating on reproductive health and supporting the feritlity community.
#drlorashahine #endometriosis #infertility
Can endo be a cause for recurrent miscarriage? My 13 week loss came back as “normal”
I have my very first appointment with my RE & I hope she’s as compassionate and understanding as you! I’m so grateful I’ve stumbled upon your channel! I’ve been subscribed for a while now but this video really hit home for me!
I was diagnosed with endometriosis 2 years ago and I’m finally starting my baby journey and I’m so excited and nervous at the same time. My appointment is in 10 days and I’m ready❤
Thank you so much for watching and for being a part of our family 😊I'm wishing you all the best on your journey ❤❤❤
I was diagnosed with endometriosis with a laparoscopy and they removed the lesions but it did not help us conceive unfortunately. We tried IVF and we only got 7 eggs and only 4 matured but ultimately they didn’t make it and we were left with nothing. I had a bunch of follicles so It made me wonder if endometriosis could affect your eggs. I wish I would’ve known this so I could have chosen to freeze my eggs when I was younger. I’m only 32 but if I could’ve been diagnosed earlier maybe I would’ve had more options with my fertility. I hope endometriosis will continue to be studied and we will continue to learn more about this disease. Thank you for making this video!
Thank you so much for watching and for sharing your experience with us ❤
I tried IUI for 11 times and finally got pregnant, but ending up with ectopic pregnancy. When a doctor did surgery on me to remove the partially ruptured fallopian tube, they found out that I got Endometriosis. I did tell lots of doctors about the very serious menstrual pain but they all dismissed it. I wish my condition could be found earlier so that I could move on to IVF earlier. But at the same time I feel relieved that finally my unexplained fertility can be explained.
I really appreciate Dr. Lora's education. I'm actually learning something and it makes so much sense. Thank you greatly!
I appreciate you for watching, thank you so much 😊😊
Thank you for another great video!
Will endometriosis and adomyosis impact implantation? Can IVF increase the fertility?
Great video! Exactly what I needed right now. Patients with endometriosis have to go straight to IVF? Is it worth to try IUI first?
Amazing videos as usual. Doesn’t apply to me as far as I know, but helps with understanding.
Do you have any videos about procedures to open one blocked fallopian tubes? Would be interested to know about stories about successful pregnancies after tube is opened (and without IVF).
Thank you so much for watching 😊I have a lot of content on this. Check out my website drlorashahine.com that can help. There you can find links to articles, my books at amazon.com, RUclips channel, Baby or Bust Fertility podcast, blog, Instagram, Tiktok and more! Best wishes ❤🤞🍍
Thank you for the amazing work you do. I would like to see a video about the relations between being overweight and fertility issues, as I've seen charts claim that the higher weight of the mother, the higher chance of miscarriage.
Thank you so much for watching! This is a great topic that I can discuss in a future post. Thank you for the suggestion❤🤞🍍
The difficulty in diagnosing is due to providers being dismissive ! I had painfully periods for my first ever period saw countless doctors and was not diagnosed until 22.
Thnsk Dr
Thank you so much for watching Alison ❤❤
I’m seeing a fertility specialist right now and they totally dismissed me when I asked if it could be the cause of it and said I didn’t need to look into it.
Sigh - maybe there’s a low chance in your personal situation but patients shouldn’t feel dismissed - I wish the doctor explained WHY they feel that way about you
@@drlorashahine yes I have the symptoms and a lot of pain so I was hoping to find out if it could be contributing but she was like endometriosis doesn’t contribute to infertility definitely was hoping to see you it’s about 3 and a half hours away contemplated the switch not sure how far out you’re booked
How it’s it controversial, if a endometrioma ruptures and compromises the ovaries that’s it for fertility. Really depends on the stage of endo