Dr. Lucky Sekhon

And so it's really hard to calculate how many do you need to feel confident.

When you freeze embryos, I froze embryos when I was 34 with my husband, you actually know in real time, okay, in a week from the egg retrieval, how many actually turned into embryos.

And you can test them and know what you have.

Even then, it's not a guarantee that every embryo will thaw out, but 98% will.

And a 60% to 70% chance with a high-quality tested embryo is pretty good.

So if you say freeze two embryos per goal child, three if you want to be really conservative, you have a better handle on numbers and where you stand.

Absolutely.

When I was giving those guidelines earlier about, okay, it's been a year and you're under 35, go see a doctor, that's the bare minimum.

Am I ever going to turn a patient away because they came to me at the six-month mark?

No.

I think if you are worried or anxious or confused about your fertility, it's never too early to go see a doctor.

But particularly for women who have been told you have a diagnosis of endometriosis or you have these fibroids, you have PCOS, I encourage them to see a fertility doctor from the get-go.

And I encourage them to get an ultrasound, a pelvic ultrasound before they even start trying because you know at baseline that you have this gynecologic issue.

And there are so many different ways that endometriosis can impact fertility.

It doesn't mean you're going to have infertility, but certainly it's multifaceted.

It could mean that you're going to have

a tendency towards egg quality issues.

It could mean that you're more likely to have blocked fallopian tubes because of scarring.

It could mean that it's harder for an embryo to implant if it affects the muscle that makes up the uterus.

For fibroids, they grow over time.