Dr. Aimee Eyvazzadeh, known as “The Egg Whisperer,” joined our Endo Exchange webinar “Fertility & Endometriosis: When Egg Quality, DOR & IVF Collide” with Dr. Karli Provost Goldstein and patient advocate Monica from @waitingforbabywunder. Together, they explored what traditional fertility care often misses and what patients need most when facing complex conditions like endometriosis and diminished ovarian reserve (DOR).
This conversation offered practical answers and deep validation. Read on for a summary of our community’s top questions during the webinar and Dr. Aimee’s answers.
About Dr. Aimee Eyvazzadeh
Dr. Aimee Eyvazzadeh is a renowned reproductive endocrinologist with over 15 years of experience helping individuals and couples grow their families. Known for her blend of science, compassion, and clarity, she’s built a global following through her empowering approach to fertility education, which has been featured in national outlets like The New York Times, NBC, and CBS.
She’s the creator of the Egg Whisperer Show and Egg Freezing Party series, where she demystifies reproductive health with tools like the TUSHY and BALLS methods.
Her approach makes complex fertility issues easier to understand—and easier to advocate for.
Why Her Voice Matters in Endometriosis and Fertility
Too many infertility patients are told to “just try again” without understanding why cycles fail. Endometriosis is often uninvestigated—even when inflammation, pain, and low egg yield suggest otherwise.
At ESSE Care, we value voices like Dr. Aimee’s because she:
- Centers diagnosis before treatment
- Prioritizes quality over quantity in IVF care
- Advocates for every patient to be informed and involved
Top Questions from the Endo Exchange Webinar
Our community had a lot to ask, and Dr. Aimee delivered clarity, insight, and practical tips. Here are some of the most common questions, with her thoughtful responses.
Should you do IVF before or after excision surgery?
Dr. Aimee: For most patients with diminished ovarian reserve (DOR), I recommend doing egg retrievals before surgery. Surgery can sometimes lower ovarian reserve, and I don’t want to miss an opportunity to preserve eggs first. But if a patient has deep disease or wants to try naturally, surgery may need to come first.
Does the type of endo matter in that decision?
Dr. Aimee: Yes. Endometriomas (“chocolate cysts”) or deep disease can distort anatomy or affect egg quality. If they’re impacting access to the ovaries or causing severe symptoms, surgery might be prioritized. Every patient’s plan should be individualized.
Do you recommend suppression (like birth control or Orilissa) after surgery?
Dr. Aimee: Usually, I do not. Suppression can lower ovarian reserve and delay IVF unnecessarily. I use it selectively—only if there’s residual disease or if we need to reduce inflammation. But for most, it’s not needed.
Does endometriosis affect egg quality?
Dr. Aimee: Yes. Endo-related inflammation can impair mitochondrial function and egg health. It may also affect the ovarian environment, especially if there are endometriomas present. Treating the inflammation—sometimes surgically—can help.
Can pain come back after IVF or surgery? What then?
Dr. Aimee: Yes, pain can return. If it does, I recommend re-imaging, reviewing hormones, and considering a second surgical opinion. You deserve ongoing support, not a single intervention.
How common is DOR with endometriosis?
Dr. Aimee: DOR is much more common with endometriosis than people realize. Many patients with low AMH or egg quality issues have underlying endo, even if it’s never been discussed. It’s often missed.
Any tips for boosting egg quality alongside IVF?
Dr. Aimee: Yes—these are my top recommendations:
- Consider NAD+ boosters and antioxidants.
- Try red light therapy to reduce inflammation.
- Use personalized supplements like CoQ10 and omega-3s.
- Focus on sleep, hydration, and a gentle anti-inflammatory diet.
Why We Value This Partnership
At ESSE Care, we believe in treating the whole person—not just their cycle. Dr. Aimee shares that vision. She listens, informs, and empowers so patients can make decisions with clarity and confidence.
Whether you’re navigating low AMH, poor egg quality, painful periods, or confusing scan results, her insights offer a grounded path forward.
Learn more about Dr. Aimee at DrAimee.org or connect on Instagram @eggwhisperer.
