Ep 290: Lining Up for Success: Fertility and the Endometrial Lining

Fertility Docs Uncensored is back with a deep dive into the endometrium—your uterine lining and a key player in fertility. Hosted by Dr. Carrie Bedient from the Fertility Center of Las Vegas, Dr. Susan Hudson from Texas Fertility Center, and Dr. Abby Eblen from Nashville Fertility Center, this episode answers listener questions and unpacks everything you need to know about this important tissue. The docs start with uterine artery embolization and how it can impact future pregnancies—touching on risks like decreased blood flow to the baby, stillbirth, and placenta increta. They also explore different endometrial biopsies (Receptiva, ALICE, EMMA, and ERA) and how they help evaluate the lining. Endometritis and polyps are also on the table: what they mean, how often they appear, and why treatment is often recommended. The docs start with uterine artery embolization and how it can impact future pregnancies—touching on risks like decreased blood flow to the baby, stillbirth, and placenta increta. They also explore different endometrial biopsies (Receptiva, ALICE, EMMA, and ERA) and how they help evaluate the lining. Endometritis and polyps are also on the table: what they mean, how often they appear, and why treatment is often recommended. You’ll also hear about stimulation options using estrogen patches or FSH, the use of modified natural cycles, and the role of hormones like prolactin and thyroid in cycle length. Even weight changes can alter hormones and ovulation. Finally, the docs explain endometrial thickness and the relationship to frozen embryo transfer (FET) success rates. Tune in for this essential guide to all things endometrium! This podcast was sponsored by Shady Grove Fertility.