Dr. Thaïs Aliabadi

If it's inside the ovary, we call it endometrioma or a chocolate cyst.

that can destroy a woman's egg count and quality.

That's why sometimes you get a 30-year-old endometriosis patient who has zero eggs, or you can have a 14-year-old who has the egg count of a 40-year-old.

So it is absolutely crucial, crucial for endometriosis patients to know their egg count.

If they have no pain, get a baseline at age 18.

If you have painful periods and you're 14, get an egg count.

Rule out endometriosis.

You can have an eight-year-old with endometriosis.

Now, it's very rare, right?

But as soon as women start menstruating, they can start complaining of these pains.

Now, it's common for patients to have some cramps.

They might take a couple of Advils and it's fine.

But if pain becomes recurrent and it starts progressing and it's disrupting their life, then it's absolutely not normal.

It's endometriosis until proven otherwise.

which takes me to my other discussion.

We're discussing doctors don't do ultrasound.

Not that you can diagnose endometriosis on ultrasound, but if you have an endometrium or a chocolate cyst, which takes you to approximately a stage three out of four endometriosis, you can see it in two seconds on ultrasound.

So if you do an ultrasound and you see an endometrioma, I don't care how small it is, don't ignore it.

It's just like me saying, I see smoke here, but I'm going to ignore it because I don't see the fire.

Well, if you see smoke, you know there's fire.