Minimal Endometriosis: Does it Affect Fertility? Tulsa OK

Most fertility specialists don't completely understand the link between minimal endometriosis and infertility. However, minimal endometriosis is commonly found when a laparoscopy is carried out for infertility.

Tulsa Fertility Center
(888) 944-1440
115 East 15th Street
Tulsa, OK
Services and Treatments Available
In Vitro Fertilization (IVF)
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Jon Channing Calvert, MD
(918) 749-0804
2424 E 21st St Ste 340
Tulsa, OK
Specialties
Obstetrics & Gynecology, Family Medicine
Gender
Male
Education
Medical School: Baylor Coll Of Med, Houston Tx 77030
Graduation Year: 1968
Hospital
Hospital: Hillcrest Med Ctr, Tulsa, Ok; St John Med Ctr, Tulsa, Ok
Group Practice: Women's Health Care

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Dr.Darla Lofgren
(918) 749-0804
2424 E 21st St # 320
Tulsa, OK
Gender
F
Speciality
Gynecologist (OBGYN)
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Accepting New Patients: Yes
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5.0, out of 5 based on 6, reviews.

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Jay Justin Weinstein
(918) 743-4053
2424 E 21st St
Tulsa, OK
Specialty
Obstetrics & Gynecology

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Lori Michelle Wolfe, MD
(918) 808-1360
1819 E 27th St
Tulsa, OK
Specialties
Obstetrics & Gynecology
Gender
Female
Education
Medical School: Univ Of Tn, Memphis, Coll Of Med, Memphis Tn 38163
Graduation Year: 2000

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Guy W Sneed, DO
(918) 274-5555
12455 E 100th St N
Owasso, OK
Business
Owasso Womens Clinic
Specialties
Obstetrics & Gynecology

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Dr.Robert Aikman
(918) 492-2229
2325 South Harvard Avenue #108
Tulsa, OK
Gender
M
Education
Medical School: Mc Gill Univ, Fac Of Med, Montreal, Que, Canada
Year of Graduation: 1966
Speciality
Gynecologist (OBGYN)
General Information
Hospital: Hillcrest Med Ctr, Tulsa, Ok
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 8, reviews.

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James Gordon Arnold, MD
(434) 572-8921
4111 South Darlington South
Tulsa, OK
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Va Commonwealth Univ, Med Coll Of Va Sch Of Med, Richmond Va 23298
Graduation Year: 1987
Hospital
Hospital: Halifax Regional Hospital, South Boston, Va
Group Practice: Fuller-Roberts Clinic Inc

Data Provided by:
Angela D Christy-Lovell
(918) 743-8200
2325 S Harvard Ave
Tulsa, OK
Specialty
Obstetrics & Gynecology

Data Provided by:
John E Coyle, MD
1923 E 21st St
Tulsa, OK
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: St Louis Univ Sch Of Med, St Louis Mo 63104
Graduation Year: 1949

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Minimal Endometriosis: Does it Affect Fertility?

Reproductive Associates of Delaware

Minimal Endometriosis: Does It Affect Fertility? Dear Dr. Ron:

I am 28 years old and I've been actively trying to get pregnant for the past 2 years. I recently underwent a laparoscopy by my gynecologist. She told me that I had minimal endometriosis, but that my ovaries and tubes looked normal. She told me that endometriosis is associated with infertility, but I don't really understand the connection.

--Maria in Seattle Dear Maria:

Most fertility specialists don't completely understand the link between minimal endometriosis and infertility. However, minimal endometriosis is commonly found when a laparoscopy is carried out for infertility. Historically, endometriosis is seen much more frequently in women having laparoscopy for infertility when compared to women having laparoscopy for tubal sterilization.

The most recent theories regarding the endometriosis-infertility link focus on the fact that endometriosis may lead to a form of mild inflammation within the pelvis. In some women, the presence of certain inflammation hormones, called cytokines, may interfere with normal reproductive processes.

Such hormones may have a negative effect on follicle and egg development, egg-sperm binding and fertilization, normal tubal function, and even implantation.

In a large prospective clinical study published in the New England Journal of Medicine, it was found that when women were diagnosed and treated for minimal endometriosis, there was a significant improvement in their ability to conceive. However, the detailed statistics in the article found that fertility did not completely return to normal, suggesting there might be other factors related to endometriosis and infertility.

In our experience, since endometriosis appears to be so common, a detailed laparoscopic assessment may be warranted in many patients with infertility. When endometriosis is found, it can be treated with the laser or cautery.

In addition, the fallopian tubes may manifest subtle abnormalities, including anatomic distortion and "stickiness", or agglutinations in the fimbria (fingers). By gently pushing some dilute dye through the uterus and tubes, the ends of the tubes can be closely evaluated for agglutinations and normal patency during the laparoscopy procedure.

Maria, treatment options for you could range from expectant management after the laparoscopy (in other words, a wait-and-see approach), to ovulation induction with clomiphene or gonadotropins, to more aggressive treatments like in vitro fertilization (IVF). I would recommend that you continue to seek good information regarding your fertility care, both through your gynecologist and possibly other specialists in the fertility field. Best of
luck.

--Dr. Ron Dr. Feinberg would like to answer the numerous questions he receives related to PCOS and fertility. However, the best medical advice you could obtain comes from your personal physician who knows your medical history best. A list of Board-certified reproductive endocrinology and infertility specialists throughout the country can be found at http://www.socrei.org

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