Infertility Causes
Endometriosis
What Is Endometriosis?
Endometriosis is a condition where tissue from the lining of the uterus is found in other locations in the body. Typically, endometrial tissue is found around the outside of the uterus, surrounding the fallopian tubes, or within the ovaries. In rare circumstances, the tissue has been found in the chest cavity or even within an abdominal scar.
What Causes Endometriosis?
The exact cause of endometriosis is not yet known, but there are several theories as to how it develops. The oldest and most accepted theory suggests that some amount of a woman’s menstrual fluid flows backwards through the fallopian tubes and into the pelvis. The endometrial tissue present in the menstrual fluid begins to grow in the new location in response to female sex hormones each month. This is not the only theory, however. One common theory speculates that the movement of the endometrial tissue from the uterus occurs via the blood or lymphatic system to distant sites or, while another suggests that normal tissues transforms to resemble abnormal endometrial tissue. The exact cause of endometriosis is still being investigated.
What are the Symptoms of Endometriosis?
Endometriosis may cause pain, inflammation, as well as infertility. Depending of the location of the abnormal endometrial tissue, your pain may vary. Some women experience pain only during their menses, while others may experience pain all of the time. Endometriosis causes infertility by two ways. First, it causes an immunological response that destroys the normal, healthy environment for the egg, sperm, and embryos. Secondly, endometriosis is categorized as an inflammatory condition. This inflammation can destroy or obstruct the normal pelvic architecture that facilitates egg pick up by the fallopian tube.
What is Endometriosis Treated?
The symptoms of endometriosis can be treated through medications or surgical treatment. Women who are trying to become pregnant are often not able to use the medications that treat endometriosis. Therefore, only surgical treatment would be used to treat severe pain.
What Infertility Treatments Work Best with Endometriosis?
For women with mild endometriosis, ovarian hyperstimulation along with inseminations is often successful in helping women conceive. Women with severe endometriosis typically achieve the greatest success with in-vitro fertilization.
Free Consultation
To schedule your consultation, call our offices at (702) 722-2229
Preparing for your infertility consultation
It’s our pleasure to welcome you to Green Valley Fertility Partners. We are here to help you through the process of diagnosis and treatment, starting with your initial consultation with your physician and patient coordinator here at our clinic. The goal of this first visit is to thoroughly evaluate your medical history, outline a diagnostic plan to determine the specific needs of your case, and to design a treatment plan that is customized to your individual situation. Your physician and patient coordinator will be spending one-on-one time with you during this initial visit, making sure you are an informed and knowledgeable participant in your treatment.
To assist you in preparing for your consultation, we have outlined some commonly asked questions regarding what to expect during and after your consultation, materials and information to bring with you, and important pre-consultation reminders.
To ensure we provide you with the best care possible, we kindly ask all new patients to download and complete our questionnaire.
Simply click the link below to access the questionnaire. Once filled out, please email the completed form to Ivy at ivy@gvflv.com
Download Questionnaire: New Patient Form
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How should I prepare for the initial consultation?
Please bring your driver’s license and insurance cards to your appointment. After your consultation, our billing department will call your insurance and find out what coverage, if any, you may have for fertility diagnosis or treatment. Prepare to bring with you a copy of your medical records from your OB/GYN, primary care physician, or any other fertility programs that add to your medical history. This copy will be for the office to keep on file as a part of your medical record, so make sure that you have your own personal copy as well. Your doctor can also fax these records to us directly, but arranging this will be your responsibility.
Should my partner come with me for this visit?
Because this is a time for asking clarifying questions, we invite and encourage your partner to accompany you to your initial consultation both to learn with you, and to support you. However this is ultimately your decision, your partner’s presence is not necessary during this visit.
Can I meet with a financial counselor to discuss payment options?
Do you take insurance?
What forms do I need to complete before my initial consultation?
How soon can I schedule my initial consultation?
Typically we will be able to schedule your appointment within 1-3 days after your call to the front desk, sometimes sooner.
How long does it take to determine the diagnosis and construct a treatment plan?
How long will my first visit take?
Do you treat patients outside of Southern Nevada?
What will be the total cost of my treatment and what are my options for payment?
What tests are administered at my initial visit?
We do not typically do any testing as part of your initial consultation. However, at your second appointment with Dr. Fisch he will most likely want to do an ultrasound to assess your ovaries, and may also include a few standard blood tests, typically including the following:
- FSH (follicle stimulating hormone)
- LH (luteinizing hormone)
- Estradiol
- TSH (thyroid stimulating hormone)
- PRL (Prolactin)
Note: Your doctor may recommend more testing, based on your medical history and assessment. You can choose to have testing done at any time before beginning treatment.
After our diagnosis on the first visit, how long will it be until we can start treatment?
How long should I expect to undergo treatment?
What are your success rates?
How many times will I have to attempt IVF before becoming pregnant?
What is the rate of success at your clinic for IVF per embryo transfer? What is the number of embryos generally transferred each time?
What is the monitoring process for my treatment, and how frequent will it be?
Is it always my doctor who performs monitoring during my treatment, or will other physicians or nurses be monitoring me as well?
Yes, At GVFP , Dr. Fisch performs all ultrasounds and procedures in the office.
We hope to see you soon!
Let's Talk
Address
2950 W Horizon Ridge Parkway, Henderson, NV 89052
info@greenvalleyfertility.com
Phone
(702) 722-2229