Endo Battery
Welcome to Endo Battery, the podcast that's here to journey with you through Endometriosis and Adenomyosis.
In a world where silence often shrouds these challenging conditions, Endo Battery stands as a beacon of hope and a source of strength. We believe in the power of knowledge, personal stories, and expert insights to illuminate the path forward. Our mission? To walk with you, hand in hand, through the often daunting landscape of Endometriosis and Adenomyosis.
This podcast is like a warm hug for your ears, offering you a cozy space to connect, learn, and heal. Whether you're newly diagnosed, a seasoned warrior, or a curious supporter, Endo Battery is a resource for you. Here, you'll find a community that understands your struggles and a team dedicated to delivering good, accurate information you can trust.
What to expect from Endo Battery:
Personal Stories: We're all about real-life experiences – your stories, our stories – because we know that sometimes, the most profound insights come from personal journeys.
Leading Experts: Our podcast features interviews with top experts in the field. These are the individuals who light up the path with their knowledge, sharing their wisdom and expertise to empower you.
Comfort and Solace: We understand that Endometriosis can be draining – physically, emotionally, and mentally. Endo Battery is your safe space, offering comfort and solace to help you recharge and regain your strength.
Life-Charging Insights: When Endometriosis tries to drain your life, Endo Battery is here to help you recharge. We're the energy boost you've been looking for, delivering insights and strategies to help you live your best life despite the challenges.
Join us on this journey, and together, we'll light up the darkness that often surrounds Endometriosis and Adenomyosis. Your story, your strength, and your resilience are at the heart of Endo Battery. Tune in, listen, share, and lets charge forward together.
Endo Battery
QC: Excision Surgery Before Fertility Treatments: The Expert Approach
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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
Have questions about endometriosis or fertility? Send them in using the link in the episode description, email contact@endobattery.com, or visit the endobattery.com contact page.
Website endobattery.com
Life moves fast and so should the answers to your biggest questions. Welcome to EndoBattery's Quick Connect, your direct line to expert insights Short, powerful and right to the point. You send in the questions, I bring in the experts and in just five minutes you get the knowledge you need. No long episodes, no extra time needed, and just remember expert opinions shared here are for general information and not for personalized medical advice. Always consult your provider for your case-specific guidance. Got a question? Send it in and let's quickly get you the answers. I'm your host, alana, and it's time to connect Today.
Speaker 1:I'm excited to welcome two of the most accomplished experts in endometriosis care to the table. First we have Dr Sadiqa Bebehani, a double fellowship trained OBGYN, specializing in reproductive endocrinology and infertility, as well as minimally invasive gynecological surgery. Dr Bebehani completed a second fellowship at the prestigious Mayo Clinic, where she mastered complex pelvic surgery using both laparoscopy and robotics. As an associate professor at the University of California Riverside School of Medicine, she is also deeply involved in medical research and publications. With her rare combination of training in surgery and infertility, dr Babiani is uniquely equipped to treat complex gynecologic conditions such as endometriosis and fibroids that affect fertility.
Speaker 1:We're also joined by Dr Laura Liu, a highly respected board-certified excision surgeon specializing in deep excision of endometriosis. Dr Liu is known for her expertise in minimally invasive techniques and her dedication to providing patients with evidence-based care that brings long-lasting relief. With her background in both gynecology and robotic surgery, she has helped countless individuals find a path to healing after enduring years of chronic pain. Together, both Dr Bebehani and Dr Loralu bring an incredible wealth of knowledge to today's discussion. Let's dive in. Do you notice a significant difference for those who have the surgery for endometriosis first, as opposed to having it after trying, like IVF or other methods to becoming pregnant?
Speaker 2:Absolutely. I wouldn't even proceed with IVF if we had a strong suspicion for endo, because the surgery may save them the cost of IVF. If we do the surgery and we find endo and we treat it, then they may have a good chance of getting pregnant naturally without IVF. And if they don't get pregnant and we still do IVF, their chances of pregnancy with IVF is going to be significantly better than if the endo was still there and we hadn't removed it. And I'm going to add one more thing to the discussion, and I'm not sure if Dr Liu does that or not, but when I have my PCOS patients go in for surgery for endometriosis, I actually will do ovarian drilling, since I'm there, you know might as well.
Speaker 2:Ovarian drilling is a surgical procedure that was done very often in the older days when fertility treatment was not as available. So we would go in and surgically poke holes in the ovary. Those holes are meant to release that thick layer where the androgens are being produced. Remember I mentioned the elevated male type androgens that we see with PCOS patients. So those are produced by cells called the theca cells. The theca cells are around the cortex, the superficial layer of the ovary. So if we poke multiple holes in the ovary. That's called ovarian drilling and it actually helps women ovulate and overcome that problem of elevated androgens. We don't nowadays take women to surgery just for that, and 20 years ago people used to do that. But nowadays, because we have so much more advancement in medicine, we give them pills rather than, you know, take them to the OR. But if I'm there doing their endo excision surgery and I know they have PCOS, I will add ovarian drilling to my procedure.
Speaker 2:But Sadiqa it has to be confirmed PCOS Correct. So if I've diagnosed them already based on their hormone checks the Rotterdam criteria they fit the diagnosis of PCOS. They have infertility. They're trying to get pregnant. We also suspect endo. When I go in for my surgery to remove and treat the endo, since I'm there, it literally takes 10 seconds to poke 10 holes on each ovary. Yeah, sure, and there are no side like, no significant side effects. Help, that's the data is. You know it's maybe not as consistent in helping get pregnant, but there are no side effects or harm, since we're there already doing something else.
Speaker 1:Right, that's a wrap for this quick connect. I hope today's insights helped you move forward with more clarity and confidence. Do you have more questions? Keep them coming, send them in and I'll bring you the expert answers. You can send them in by using the link in the top of the description of this podcast episode or by emailing contact at endobatterycom or visiting the endobatterycom contact page. Until next time, keep feeling empowered through knowledge. Thank you.