Cape Fertility

30/03/2026

Here’s what endometriosis research consistently shows:

🔹 Early diagnosis matters
🔹 Pain is a symptom, not something to ignore
🔹 Fertility is still possible with the right support
🔹 Treatment is individual and tailored to you
🔹 You are allowed to ask for more answers and care

If endometriosis is part of your story, Cape Fertility is here to guide you forward with clarity.

Your health. Your timeline. Your team.

📞 +27 21 674 2088
📩 info@capefertility.co.za
🌐 www.capefertility.co.za

27/03/2026

There is no such thing as too many questions in a fertility consultation.

Ask about your AMH. Ask your stage. Ask what waiting a year could mean. Ask about success rates for you.

The answers shape your decisions, and your path.

Ready for answers? Book your consultation with Cape Fertility today.

📞 +27 21 674 2088
📩 info@capefertility.co.za
🌐 www.capefertility.co.za

25/03/2026

Progesterone resistance is common in endometriosis and often overlooked. Even with normal hormone levels, the body may not respond as it should.

For those TTC, this can affect implantation and early pregnancy.

If you’ve had failed transfers or unexplained losses, ask about progesterone support.

Ask specific questions. Get clearer answers.

📞 +27 21 674 2088
📩 info@capefertility.co.za
🌐 www.capefertility.co.za

23/03/2026

If you’ve been told your pain is normal, your results are fine, or that there’s nothing to investigate but your instinct says otherwise, it may be time to seek a second opinion.

Many endometriosis diagnoses happen because someone kept asking questions, kept pushing for answers, and trusted their own experience.

At Cape Fertility, we welcome second opinions. Bring your history, your questions, and your voice. You deserve to be heard.

📞 +27 21 674 2088
📩 info@capefertility.co.za
🌐 www.capefertility.co.za

20/03/2026

Up to 90% of women with endometriosis report gastrointestinal symptoms such as bloating, cramping, diarrhoea, constipation, or nausea, particularly around menstruation.

In many cases, these symptoms are attributed to IBS and treated accordingly, delaying an endometriosis diagnosis by years.

The reason is complex. The gut and reproductive system share nerve pathways, and endometriosis lesions can sometimes implant on the bowel. When this happens, bowel movements can trigger severe pelvic pain, not because the gut is the problem, but because the bowel is affected by endometriosis-related inflammation.

Researchers are also studying the gut microbiome and its possible link to endometriosis. Early evidence suggests that women with endometriosis may have a different microbiome profile, which could influence oestrogen metabolism and inflammation.

The body speaks through symptoms.
If something does not feel right, speak to a Cape Fertility specialist.

📞 +27 21 674 2088
📩 info@capefertility.co.za
🌐 www.capefertility.co.za

18/03/2026

If you have endometriosis and are planning to pursue IVF, the question of whether and when to have laparoscopic surgery first is one of the most nuanced decisions in fertility medicine.

Here is what the evidence broadly suggests:

🔹 For endometriomas (ovarian cysts)
Surgery may improve IVF outcomes in some cases, but it also carries a risk of reducing ovarian reserve. The decision depends on cyst size, your current AMH, and your specialist’s assessment.

🔹 For pain and adhesions
Laparoscopic excision can significantly improve quality of life and may improve the uterine environment for implantation.

🔹 For unexplained infertility with suspected endometriosis
Diagnostic and operative laparoscopy may provide clarity and may improve natural conception chances.

There is no universal right answer, but there is a right answer for you, based on your specific staging, ovarian reserve, and fertility goals.

The best decisions are made with full information. Speak to a Cape Fertility specialist about the right path for you.

📞 +27 21 674 2088
📩 info@capefertility.co.za
🌐 www.capefertility.co.za

16/03/2026

13/03/2026

Emerging research suggests the immune system may play an important role in endometriosis.

In a healthy body, endometrial cells that move outside the uterus are usually identified and cleared. In women with endometriosis, the immune system may not remove these cells effectively, allowing lesions to grow.

Studies have also found higher levels of inflammatory markers and changes in natural killer cell activity in women with endometriosis. These immune cells normally help clear abnormal cells.

This may help explain why endometriosis is sometimes linked with other autoimmune and inflammatory conditions.

Endometriosis is not simply hormonal. It is complex, systemic, and still being understood.

Science is catching up. And so is care.

📞 +27 21 674 2088
📩 info@capefertility.co.za
🌐 www.capefertility.co.za

11/03/2026

This one's for every woman who spent months researching before her appointment. Who filled notebooks with symptoms. Who asked the hard questions when she finally got in the room.

Learning about fertility, asking questions, and advocating for your health is empowerment.

Come prepared. We'll meet you there.

📞 +27 21 674 2088
📩 info@capefertility.co.za
🌐 www.capefertility.co.za

09/03/2026

What many people do not realise is that the severity of endometriosis is not strongly inherited. A mother with severe endometriosis may have a daughter with mild symptoms or none at all, and the opposite can also happen.

Scientists are still researching the genetic links. While certain genes related to inflammation, immune response, and oestrogen metabolism may play a role, no single endometriosis gene has been identified.

If endometriosis runs in your family, early screening and monitoring can be worthwhile, even before symptoms appear.

Your family history is valuable information.

📞 +27 21 674 2088
📩 info@capefertility.co.za
🌐 www.capefertility.co.za

06/03/2026

If you have endometriosis, or suspect you might, one of the most valuable steps you can take is understanding your fertility before you need it urgently.

A baseline fertility assessment may include:
🔹 AMH, a marker of ovarian reserve
🔹 Antral Follicle Count, an ultrasound measure of egg quantity
🔹 Hormonal panel including FSH, LH, oestradiol, and progesterone
🔹 Pelvic ultrasound to assess for endometriomas and uterine anomalies

Endometriosis can reduce ovarian reserve over time. Knowing your numbers now helps you make informed decisions about treatment, IVF, or egg freezing.

💙 Data removes uncertainty. Certainty changes everything.

📞 +27 21 674 2088
📩 info@capefertility.co.za
🌐 www.capefertility.co.za

04/03/2026

For years, women with endometriosis have been told their pain is normal. That periods are meant to hurt. That they are being dramatic.

They were not. And you are not.

If something feels wrong in your body, trust that instinct. Seek answers. Find specialists who listen. You deserve care that reflects the reality of what you are experiencing.

💙 Cape Fertility is here to listen.

📞 +27 21 674 2088
📩 info@capefertility.co.za
🌐 www.capefertility.co.za