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Professor Horace Ramon shares groundbreaking insights on how surgery for colorectal endometriosis significantly improves fertility outcomes, even for patients who’ve experienced multiple failed IVF attempts. His research reveals that removing endometriotic lesions throughout the pelvis gives patients a better chance at natural conception by addressing multiple fertility barriers.
• Endometriosis acts “like smoke” that impairs fertility at every level – affecting egg quality, sperm mobility, and creating inflammatory conditions
• Cleaning the pelvis through surgery gives patients additional opportunities for natural conception
• Deep dyspareunia (painful intercourse) from rectovaginal nodules often reduces sexual frequency, especially during ovulation
• Pain reduction after surgery may indirectly improve conception rates by enabling more frequent intercourse during fertile windows
• The connection between inflammation and fertility explains why removing disease improves the body’s reproductive function
Do you have more questions? Send them in by using the link in the description of this podcast episode, emailing contact@endobattery.com, or visiting the endobattery.com contact page.
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Welcome to EndoBattery's Quick Connect
Speaker 1
0:00
Life
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biggest
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and
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to
connect
Today
.
Introduction of Professor Horace Ramon
Speaker 1
0:42
I
am
so
honored
to
welcome
Professor
Horace
Ramon
,
a
world-renowned
surgeon
and
researcher
in
the
field
of
endometriosis
.
Professor
Ramon
has
published
some
of
the
most
impactful
studies
we
have
on
fertility
outcomes
after
surgery
for
deep
colorectal
endometriosis
.
His
work
has
changed
how
we
think
about
the
relationship
between
endometriosis
excision
surgery
and
pregnancy
rates
,
especially
for
patients
who
have
struggled
with
multiple
failed
IVF
attempts
.
Please
help
me
in
welcoming
Professor
Horace
Ramon
.
Why
do
you
think
doing
surgery
in
those
patients
who
had
bowel
or
colorectal
surgery
for
endometriosis
had
such
a
significant
improvement
in
fertility
Endometriosis Surgery and Fertility Connection
Speaker 1
1:23
?
What
would
cause
that
?
Speaker 2
1:24
Well
,
we
do
not
know
exactly
If
the
patient
has
a
bowel
endometriosis
together
with
ovarian
fallopian
tube
endometriosis
.
It
is
obvious
that
removing
the
bowel
endometriosis
,
together
with
restoring
the
fallopian
tube
patency
and
removing
the
ovarian
cyst
,
of
course
,
it
improves
the
fertility
Right
.
You
may
have
infertile
women
with
bowel
endometriosis
and
the
fallopian
tubes
are
almost
normal
and
the
ovaries
are
involved
by
only
superficial
lesions
.
In
this
case
,
after
the
surgery
,
I
am
almost
sure
that
they
will
be
pregnant
naturally
and
I
think
that
in
this
case
the
endometriosis
impaired
the
pregnancy
in
an
indirect
manner
,
because
it
had
been
demonstrated
that
endometriosis
,
like
the
smoke
,
may
affect
the
fertility
at
every
level
,
beginning
with
the
quality
of
the
oocytes
,
with
the
mobility
of
the
sperm
,
with
the
inflammatory
ambience
of
the
pelvis
where
the
meeting
between
the
spermatozoa
and
ovocytes
occurs
.
So
at
every
level
endometriosis
may
reduce
the
probability
of
pregnancy
and
I
think
that
cleaning
the
pelvis
we
give
a
supplementary
chance
for
natural
Dyspareunia's Impact on Conception
Speaker 2
2:45
pregnancy
.
Speaker 1
2:45
It's
a
remarkable
finding
.
I
feel
like
a
lot
of
us
wouldn't
have
put
those
two
together
,
Although
I
think
in
a
lot
of
ways
it
makes
sense
,
because
the
more
your
body
is
fighting
against
itself
and
has
a
diseased
state
,
it
would
make
sense
that
it's
harder
to
become
pregnant
.
It's
not
your
body's
not
at
its
optimal
that
it's
harder
to
become
pregnant
.
Speaker 2
3:04
It's
not
,
your
body's
not
at
its
optimal
.
Then
there
is
another
factor
of
infertility
,
of
natural
conception
,
which
is
the
deep
dyspareunia
we
do
not
speak
about
.
We
do
not
speak
enough
about
deep
dyspareunia
.
But
women
with
big
rectovaginal
nodule
have
less
sex
than
women
who
are
not
painful
,
and
they
may
be
painful
,
more
painful
,
during
exactly
the
three
days
of
ovulation
.
At
that
time
they
reduce
the
frequency
of
sexual
intercourse
.
They
may
be
involved
too
in
a
better
,
in
an
improvement
of
natural
conception
rate
.
Speaker 1
3:37
Yeah
,
well
,
and
it
makes
sense
,
with
the
inflammation
that
we
experience
oftentimes
during
our
cycle
and
when
we're
in
a
flare
,
why
that
would
be
so
much
harder
and
eradicating
that
disease
is
so
important
for
that
conception
,
so
your
body
can
function
normally
and
not
have
the
inflammation
.
Speaker 1
3:54
It
makes
a
lot
of
sense
from
that
perspective
.
That's
a
wrap
for
this
quick
connect
.
I
hope
Episode Closing and Contact Information
Speaker 1
4:02
today's
insights
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