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Two leading endometriosis specialists discuss why performing excision surgery before fertility treatments often leads to better outcomes for patients struggling with both endometriosis and infertility.
• Dr. Sadikah Behbehani recommends excision surgery before IVF when endometriosis is suspected
• Removing endometriosis first may enable natural conception without needing IVF
• When IVF is still needed after surgery, success rates are significantly higher
• For patients with both PCOS and endometriosis, ovarian drilling can be performed during the same surgery
• Ovarian drilling creates small holes in the ovary to reduce androgen production and help with ovulation
• While not done as a standalone procedure anymore, ovarian drilling has minimal side effects when performed during endometriosis surgery
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