In this episode, Dr. Nicholas Fogelson and Dr. Shanti Mohling discuss a compelling new study from the Journal of Minimally Invasive Gynecology exploring spontaneous conception and live birth rates in infertility patients after endometriosis surgery. They break down what the data reveals about excision versus ablation, the role of age, and the surprising lack of correlation between disease stage and fertility outcomes. Along the way, they examine how inflammation impacts egg viability, why BMI may not matter as much as once believed, and how social media is transforming surgical education and patient advocacy.

For clinical consultations: contact Northwest Endometriosis and Pelvic Surgery in Portland, OR at (503) 715-1377 or email us at newpatients@nwendometriosis.com 

Follow us on Instagram: @Nicholasfogelson and @drshantimohling

Highlights:

• What a retrospective cohort study reveals about spontaneous conception rates after excision surgery
• Why disease stage may not determine fertility potential in endometriosis patients
• How inflammatory environments—not just structural damage—interfere with egg survival and implantation
• What the data shows about BMI having no significant impact on post-surgical fertility outcomes
• Why surgical video sharing on social media is reshaping education, access, and accountability in the field
  
  

Download a transcript of this episode.