Course / Treating Endometriosis
Treatment strategies are designed based on:
Severity and stage of endometriosis
Symptom profile (pain, infertility, menstrual irregularities)
Fertility goals (natural conception, IVF, or surrogacy)
Common treatment modalities include surgery, medications, assisted reproduction, and lifestyle interventions. The goal is to reduce lesion burden, restore reproductive anatomy, and optimize embryo quality.
Endometriosis is staged to guide treatment decisions:
Stage I–II (Minimal to Mild): Small lesions or superficial implants.
Stage III–IV (Moderate to Severe): Ovarian endometriomas, dense adhesions, or deep infiltrating disease.
Staging is typically determined during laparoscopy. Severity influences whether surgical intervention or direct IVF is recommended.
Laparoscopic Surgery: Gold standard for removing lesions and adhesions.
Aims: Restore normal pelvic anatomy, remove endometriomas, and minimize inflammatory environment.
Considerations: Surgery can improve natural conception rates, especially in moderate disease.
Mild Disease: Surgery may have limited impact on fertility; IVF may be more effective.
Moderate to Severe Disease: Surgical removal of endometriomas and adhesions can improve IVF outcomes and reduce pain.
Individual Assessment: Factors such as age, ovarian reserve, and previous surgeries influence surgical benefit.
Removing endometriomas >3 cm may enhance ovarian accessibility and egg retrieval.
Reduces pelvic inflammation that may impair embryo quality or implantation.
Must balance benefits with risk of reducing ovarian reserve.
Potential damage to ovarian tissue and blood supply
Adhesion formation
Infection, bleeding, or anesthesia complications
Selecting an experienced reproductive surgeon minimizes risks and maximizes fertility outcomes.
Verify specialized training in reproductive surgery
Assess experience with endometriosis excision and fertility preservation
Review patient outcomes and clinic accreditation
Collaborate with your fertility specialist to align surgery with IVF or surrogacy planning
IVF bypasses anatomical barriers caused by adhesions or distorted fallopian tubes.
Success rates may be slightly lower in severe disease but are generally comparable with proper ovarian stimulation and embryo management.
Pre-treatment evaluation is critical to optimize ovarian response.
Surgical Removal: Consider for endometriomas affecting retrieval
Individualized Stimulation Protocols: Adjusted based on ovarian reserve and prior response
Embryo Cryopreservation: For patients undergoing staged IVF cycles
PGT-A Testing: May help select euploid embryos, especially if endometriosis affects embryo quality
Less effective in moderate to severe endometriosis due to adhesions or tubal blockage
May be considered in mild disease when anatomical distortion is minimal
Hormonal Therapy: GnRH agonists, oral contraceptives, or progestins can reduce lesion activity and pain
Pain Management: NSAIDs and other analgesics for symptomatic relief
Limitations: Medications suppress ovulation and are generally not used when immediate fertility is desired
Anti-inflammatory diet (high in fruits, vegetables, omega-3 fatty acids)
Regular exercise to improve circulation and hormonal balance
Stress management techniques
Avoidance of environmental endocrine disruptors when possible
Lifestyle modifications complement medical and surgical interventions to improve reproductive outcomes.
Surgical expertise matters: Choose a reproductive surgeon with extensive experience in fertility-preserving endometriosis excision.
Tailor IVF protocols: Adjust stimulation based on ovarian reserve and endometrioma presence.
Combine strategies: Surgery plus IVF often provides optimal fertility outcomes for moderate to severe disease.
Monitor ovarian reserve post-surgery: Track AMH and antral follicle count.
Use lifestyle and medications strategically: Supportive measures can enhance IVF and natural conception outcomes.
Our job is to listen, to connect the dots between your needs, and to determine how we can best help you have your baby. If you’re asking how much does it cost for a surrogate, we’ll walk you through every step of the process to ensure there are no surprises.
To make an appointment with one of our counselors or physicians, please call (212) 661-7673 or email info@surrogacy4all.com. We look forward to hearing from you.
Surrogacy4All is a unique international surrogacy service targeted at providing state of the art IVF and surrogacy services to Intended Parents irrespective of age, sex or color, at the lowest possible cost in the world.
Secret Guide to Minimizing Surrogacy Costs
All Rights Reserved to Surrogacy4all