Endometriosis and Failed Implantation: Why High-Quality Embryos Don’t Stick | Dr. Sadikah Behbehani

Download The Physician Fertility Roadmap- a 6-step, evidence-based plan to optimize your fertility over the next 6-12 months. https://support.loveandsciencefertility.com/The-Physician-Fertility-RoadmapIf you’ve ever been told your embryos are “high quality” but your transfers keep failing, this episode will change how you think about implantation.In this powerful and science-forward conversation, Dr. Erica Bove sits down with Dr. Sadikah Behbehani — board-certified Reproductive Endocrinologist and fellowship-trained Minimally Invasive Gynecologic Surgeon — to unpack one of the most overlooked causes of IVF failure: endometriosis.Up to 50% of women undergoing IVF may have undiagnosed endometriosis. Yet many are told everything “looks normal.”In this episode, we explore:• Why high-quality embryos fail to implant• The role of inflammation in recurrent implantation failure• Silent endometriosis and unexplained infertility• When to consider laparoscopy• Excision surgery vs. Lupron suppression• How endometriomas impact egg quality and ovarian reserve• Adenomyosis and its effect on embryo transfer outcomes• Natural pregnancy rates after endometriosis surgery• What REIs may miss — and when to advocate for deeper evaluationDr. Behbehani explains why endometriosis is not just a pain disorder — it is an inflammatory disease that can distort anatomy, disrupt egg development, and interfere with implantation, even when embryos are genetically normal.This episode is essential listening for anyone navigating IVF, recurrent failed transfers, diminished ovarian reserve, chronic pelvic pain, or a diagnosis of “unexplained infertility.”If you’ve felt like something is being missed in your fertility journey, this conversation offers clarity, nuance, and a path forward grounded in both love and science.About Dr. BehbehaniDr. Sadikah Behbehani is a nationally recognized OBGYN and one of the leading endometriosis doctors in Los Angeles & Newport Beach, specializing in Reproductive Endocrinology and Infertility, as well as Minimally Invasive Gynecologic and Robotic Surgery. With double fellowship training, which is an achievement held by only a handful of physicians in the country, Dr. Behbehani offers a unique blend of surgical expertise and fertility care. As an experienced endometriosis excision surgeon and pelvic pain specialist Los Angeles, she is highly skilled in treating even the most complex gynecologic conditions affecting fertility, such as endometriosis and uterine fibroids. Her advanced training allows her to address these challenging medical conditions with precision, helping patients achieve better health outcomes and improved quality of life.Find her:Instagram: dr.sadikahbehbehaniTiktok: dr.behbehani Support the showAs always, please keep in mind that this is my perspective and nothing in this podcast is medical advice.If you found this conversation valuable, book a consult call with me using this link:https://www.loveandsciencefertility.com/private-fertility-consultFollow us on social media:IG: www.instagram.com/loveandsciencefertilityFB: www.facebook.com/profile.php?id=61553692167183Please don’t let infertility have the final word. We are here to take the burden from you so that you can achieve your goal of building your family with confidence and compassion. I’m rooting for you always.In Gratitude,Dr. Erica Bove