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Question
Over 2 years ago, I was diagnosed with Polycystic Ovarian Syndrome and a year ago I was diagnosed with Endometriosis as well.  I have already had a laproscopy and DNC done for the endometriosis and I have already had a couple of cysts rupture.  I have had 2 doctors tell me that if I am wanting to try and conceive a baby that I need to do so as quickly as possible because those diseases get progressively worse and cause infertility.  I definitly believe those doctors because they are the best doctors my city has to offer, but my husband did not go with me to either of these appointments and I think he thinks that I am just telling him this so we can go ahead and try to have a baby, but that isn't the case.  I figured I would see what you have to say on this matter and share your response with my husband so that he can see that a medical doctor has confirmed what I have been saying.  So my question is do I need to go ahead and try to have a baby before my conditions get worse?  Will endometriosis and PCOS cause me not to be able to have a baby?  I would appreciate it if you could answer this for me.  Thank you for your time and God Bless You.  

Answer
Hi Misty,

Endometriosis tends to get worse with time, but not always.  Polycystic ovarian syndrome doesn't usually get worse with time, and the treatment of PCOS is usually the same whether you want to try to conceive now or in the near future.

Since endometriosis can be worse with time, many docs suggest getting pregnant sooner rather than later, but as a board certified fertility specialist I think NO ONE should try and become pregnant unless the couple is ready.

Hope this helps,
Dr. Roseff in NJ
visit us at www.reproendo.com

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Scott Roseff, MD, FACOG

Expertise

I can answer questions relating to ALL aspects of female infertility.

Experience

I am Board Certified in Reproductive Endocrinology/Infertility.

Organizations
Past/Present:
Medical Advisory Board, Serono Labs, Inc.
Speaker's Bureau, TAP Pharmaceuticals, Inc.
The American Society for Reproductive Medicine
American Association of Gynecologic Laparoscopists
The International Society for Gynecologic Endoscopy
The Society of Laparoendoscopic Surgeons
The International Federation of Gynaecologic Endoscopists
U.S. International Foundation for Studies in Human Reproduction, Inc.
The Endometriosis Association
Fellow, The American College of Obstetricians & Gynecologists
American Medical Association
The Academy of Medicine of NJ
NJ Obstetrical & Gynecological Society
The NY Reproductive Medicine Society (Steering Committee)
The Society of Reproductive Endocrinologists
Resolve - National Chapter
Resolve - New Jersey - Executive Board

Publications
Please be so kind as to see my CV at: www.reproendo.com or http://ivfmd.com/our-practice/medical-staff/scott-roseff-md

Education/Credentials
Postgraduate Fellowship training in Reproductive Endocrinology & Infertility was done at The University of California, San Diego, School of Medicine.

Awards and Honors
Mellon Fellow in Reproductive Endocrinology and Infertility, 1988, awarded for academic excellence in the Reproductive Sciences, for research efforts aimed at development of novel contraceptives.

Wyeth Service Award for Physician Education and Training in Norplant Contraceptive Implants.

Certificates of Service and Appreciation from Our Lady of Mercy Medical Clinic, Guadalajara, Jalisco, México, 1978-1982.

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