Service Overview

Endometriosis Specialists in Aliso Viejo & Orange County, CA

New Patient consultations both in-person and via Telehealth.

Expert Fertility Care for Women with Endometriosis

Endometriosis affects an estimated 1 in 10 women of reproductive age and is one of the leading causes of infertility. For many women, symptoms such as painful periods, pelvic pain, painful intercourse, digestive symptoms, and difficulty conceiving can significantly impact quality of life and reproductive health.

At South Coast Fertility Specialists, we understand the complex relationship between endometriosis and fertility. Our team provides comprehensive evaluation, fertility testing, and personalized treatment plans designed to help patients navigate both symptom management and family-building goals. Dr. Bana Kashani and Dr. Nidhee Sachdev are proud members of the Hoag Endometriosis Advisory Council, collaborating with leading specialists to advance awareness, education, and multidisciplinary care for women affected by endometriosis.

New Patient consultations both in-person and via Telehealth.

What Is Endometriosis?

New Patient consultations both in-person and via Telehealth.

How Does Endometriosis Affect Fertility?

New Patient consultations both in-person and via Telehealth.

Common Symptoms of Endometriosis

Symptoms can vary significantly from person to person. Some women experience severe pain, while others have few symptoms and discover they have endometriosis only during a fertility evaluation. Common symptoms may include:

Painful menstrual periods
Chronic pelvic pain
Pain during intercourse
Pain with bowel movements or urination
Heavy menstrual bleeding
Bloating and digestive discomfort
Fatigue
Difficulty becoming pregnant
Recurrent pregnancy loss

New Patient consultations both in-person and via Telehealth.

Endometriosis Evaluation and Fertility Testing

At South Coast Fertility Specialists, we take a comprehensive and evidence-based approach to diagnosing and evaluating endometriosis. Because endometriosis can affect fertility in multiple ways, a thorough evaluation is essential to understanding how the condition may be impacting your reproductive health and developing the most effective treatment plan. Your evaluation may include:

Comprehensive Fertility Consultation

Your physician will review your symptoms, menstrual history, reproductive history, previous pregnancies, prior surgeries, fertility goals, and any history of pelvic pain, painful periods, painful intercourse, or recurrent pregnancy loss. This detailed assessment helps identify patterns commonly associated with endometriosis and infertility. A transvaginal pelvic ultrasound may be performed to evaluate the uterus, ovaries, and surrounding pelvic structures. Ultrasound can help identify ovarian endometriomas, uterine abnormalities, fibroids, ovarian cysts, and other conditions that may affect fertility.

Ovarian Reserve Testing

Ovarian reserve testing helps assess the quantity of remaining eggs and may include:

Anti-Müllerian Hormone (AMH)
Follicle Stimulating
Hormone (FSH)
Estradiol (E2)
Antral Follicle Count (AFC)

These tests provide important information regarding reproductive potential and can help guide fertility treatment recommendations.

Comprehensive Hormone Testing

Hormonal evaluation may include testing of reproductive hormones that influence ovulation, fertility, and overall reproductive health, including:

AMH
FSH
LH
Estradiol
Progesterone
Thyroid Function Testing (TSH)
Prolactin

Fallopian Tube Evaluation

Because endometriosis can cause scar tissue and adhesions affecting the fallopian tubes, evaluation of tubal function is often recommended. Testing may include:

Hysterosalpingogram (HSG)
Saline Sonogram (SIS)
HyFoSy (when appropriate).

ReceptivaDx Testing

ReceptivaDx is an advanced endometrial biopsy test designed to identify elevated BCL6 expression, a marker associated with inflammation and underlying endometriosis. This test may be particularly helpful for women experiencing unexplained infertility, recurrent implantation failure, or recurrent pregnancy loss when endometriosis is suspected but has not been formally diagnosed.

Heranova Endometriosis Testing

The Heranova test is an emerging diagnostic tool that evaluates specific inflammatory and molecular markers associated with endometriosis. This testing may provide additional insight into underlying disease activity and help guide treatment planning for select patients.

Endometrial Receptivity Testing

For patients experiencing implantation challenges or recurrent IVF failure, additional testing may be recommended to evaluate endometrial health and uterine receptivity.

Advanced Fertility Testing

Depending on your history and symptoms, your physician may recommend additional diagnostic testing, including:

Genetic carrier screening
Recurrent pregnancy loss evaluation
Autoimmune testing
Thrombophilia testing
Hysteroscopy
Laparoscopy for definitive diagnosis of endometriosis

Our goal is to identify the factors contributing to infertility as early as possible and create a personalized treatment strategy that maximizes your chances of achieving a successful pregnancy.

New Patient consultations both in-person and via Telehealth.

Fertility Treatment Options for Endometriosis

Treatment recommendations depend on several factors, including age, ovarian reserve, symptom severity, previous treatments, and pregnancy goals. For some patients, fertility treatment may include ovulation induction medications or intrauterine insemination (IUI). For others, in-vitro fertilization (IVF) may provide the most effective path to pregnancy, particularly when significant endometriosis, diminished ovarian reserve, or tubal disease is present. Our fertility specialists carefully evaluate each case and provide individualized recommendations based on the latest reproductive medicine research and evidence-based protocols.

New Patient consultations both in-person and via Telehealth.

When Should You See a Fertility Specialist?

Women with endometriosis who are actively trying to conceive should not assume that pregnancy will happen on its own with time. Early fertility evaluation can help identify potential challenges and preserve reproductive options. You should consider scheduling a consultation if:

You have been diagnosed with endometriosis.
You experience painful periods or chronic pelvic pain.
You have been trying to conceive for six months or longer.
You have experienced recurrent pregnancy loss.
You have concerns about your fertility or ovarian reserve.
You are considering fertility preservation.

New Patient consultations both in-person and via Telehealth.

Why Choose South Coast Fertility Specialists?

South Coast Fertility Specialists combines advanced reproductive medicine with compassionate, individualized care. Our physicians understand the unique challenges faced by women with endometriosis and work closely with each patient to create a personalized fertility plan. As members of the Hoag Endometriosis Advisory Council, Dr. Bana Kashani and Dr. Nidhee Sachdev are committed to advancing awareness, education, and multidisciplinary care for women affected by endometriosis throughout Orange County and Southern California. Whether you are newly diagnosed, struggling to conceive, or seeking a second opinion, our team is here to help guide you through every step of your fertility journey.

Schedule Your Endometriosis Fertility Consultation

If you have endometriosis and are concerned about your fertility, our specialists are here to help. Schedule a consultation with South Coast Fertility Specialists in Aliso Viejo to discuss your symptoms, evaluate your reproductive health, and explore personalized treatment options. We proudly serve patients throughout Aliso Viejo, Laguna Niguel, Mission Viejo, Newport Beach, Irvine, Laguna Beach, San Clemente, Dana Point, and Orange County, California.

New Patient consultations both in-person and via Telehealth.

Frequently Asked Questions

Can I get pregnant if I have endometriosis?

Yes. Many women with endometriosis are able to conceive naturally or with fertility treatment. The best approach depends on factors such as age, ovarian reserve, disease severity, and overall reproductive health.

Does endometriosis always cause infertility?

No. While endometriosis is associated with infertility, not every woman with endometriosis will have difficulty becoming pregnant.

How is endometriosis diagnosed?

Diagnosis may involve a review of symptoms, pelvic examination, imaging studies, and in some cases, minimally invasive surgery. A fertility specialist can help determine the most appropriate evaluation.

Is IVF successful for women with endometriosis?

IVF is often one of the most effective fertility treatments for women with moderate to severe endometriosis and can help overcome many of the fertility barriers associated with the condition.

Should I see a fertility specialist before surgery?

In many cases, yes. Fertility preservation and reproductive planning should be discussed before undergoing treatment for endometriosis, particularly if a future pregnancy is desired.

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