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For patients facing both infertility and symptomatic endometriosis, surgical excision should be part of the conversation—not only to improve quality of life, but also to potentially enhance fertility outcomes. Medications like Lupron can suppress symptoms, but they do not remove endometriosis lesions. Suppression before IVF may or may not improve pregnancy outcomes, and it is not a treatment for the disease itself—so symptoms often return after pregnancy. For patients who are symptomatic, addres
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