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Why Can Endometriosis Cause Infertility?

Endometriosis can impact fertility in complex ways. Dr. Goldstein walks through how inflammation, scarring, and immune response may disrupt conception.

In this video, Dr. Karli Provost Goldstein, a board-certified minimally invasive gynecologic surgeon, breaks down how endometriosis can affect fertility—not just through visible lesions, but through the body’s inflammatory response.

Dr. Goldstein explains how endometriosis can:

  • Cause inflammation and adhesions around the ovaries, uterus, and fallopian tubes
  • Disrupt the journey of the egg and embryo through the reproductive tract
  • Interfere with egg quality, fertilization, and implantation
  • Elevate inflammatory markers—even when blood tests appear normal

With her anatomical drawing, she walks viewers through how lesions attract immune cells that lead to chronic inflammation, ultimately affecting the delicate processes required for conception and early pregnancy.

If you’re navigating infertility and suspect endometriosis may be part of the puzzle, this video offers a breakdown of what might be going on—and why expert evaluation matters.

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