Endometriosis affects 1 in 10 women and is a leading cause of chronic pelvic pain and infertility. IRFC offers expert evaluation, laparoscopic surgery, and targeted fertility treatment for women at every stage of this condition.
Before any treatment, your physician takes the time to understand your full history and explain what the evidence shows — so the plan fits you, not a one-size-fits-all protocol.
Talk to a coordinatorEndometriosis occurs when tissue similar to the uterine lining (endometrium) grows outside the uterus — on the ovaries, fallopian tubes, pelvic peritoneum, and in some cases on other organs. This tissue responds to hormonal cycles, causing inflammation, scarring, and adhesions.
Endometriosis can impair fertility by distorting pelvic anatomy, damaging the fallopian tubes, creating an inflammatory environment hostile to eggs and embryos, and reducing ovarian reserve — particularly when ovarian endometriomas (cysts) are present.
Stages of Endometriosis
Stage I–II (Minimal/Mild)
Superficial implants, minimal scarring. Fertility impact varies.
Stage III (Moderate)
Deeper implants, possible endometriomas, some adhesions.
Stage IV (Severe)
Extensive disease, large endometriomas, significant adhesions. Higher fertility impact.
Diagnosis
Definitive diagnosis requires laparoscopy — a minimally invasive surgical procedure. IRFC performs diagnostic laparoscopy at accredited surgery centers in Corona and Irvine, with the ability to treat findings in the same procedure.
For moderate-to-severe endometriosis, surgical removal of implants and adhesions can restore anatomy, relieve pain, and improve natural fertility. IRFC performs minimally invasive laparoscopic excision at our accredited surgery centers.
For mild endometriosis with patent tubes, medicated IUI cycles can improve the chance of natural conception without surgery — often the first-line treatment option.
IVF bypasses the fallopian tubes and provides the highest success rates for women with endometriosis, particularly moderate-to-severe disease. IRFC customizes stimulation protocols to protect ovarian reserve.
Ovarian endometriomas (chocolate cysts) require careful evaluation. IRFC weighs the risks of surgical removal against the benefits, always with ovarian reserve preservation as a priority.
Women with endometriosis who are not ready to conceive should consider freezing eggs before surgical treatment or disease progression reduces their ovarian reserve further.
IRFC coordinates with minimally invasive gynecological surgeons, pain specialists, and pelvic floor therapists to address endometriosis comprehensively — not just its fertility impact.
Every question deserves an honest answer.
"I had Stage III endometriosis and two failed IUIs elsewhere. IRFC recommended laparoscopy first, then IVF. I'm now 14 weeks pregnant with my baby boy."
— IRFC Patient, Laparoscopy + IVF
Whether you've just been diagnosed or struggled for years, IRFC can help you find the right path forward. Let us help you find the right path.