Advanced Diagnosis & Treatment of Endometriosis 

Endometriosis is a condition that occurs when the tissue lining the uterus (endometrium) grows elsewhere. Approximately one in 10 women in the U.S. suffer from endometriosis during their reproductive years. While there is no cure for the condition, there are treatments that can help ease the pain or address infertility caused by endometriosis. Dr. Ali Guerami is a double board-certified fertility specialist with offices in Frisco and Dallas, TX, dedicated to providing state-of-the-art care. He can help you overcome the challenges presented by endometriosis so you can achieve your dream of parenthood.


Endometriosis occurs when the tissue that normally lines the uterus grows outside the uterus.

Endometriosis & Infertility

For those suffering from endometriosis, the endometrium still behaves as it would inside of the uterus, but it is not able to shed during each menstrual cycle as it should. This causes the tissue to thicken and spread, causing issues such as:

  • Development of scar tissue
  • Abnormal bonding between tissues and organs
  • Tubal damage or blockage
  • Ovarian cysts
  • Damaged eggs

As a result, endometriosis often leads to infertility.

Symptoms of Endometriosis

Patients with endometriosis commonly suffer from: 

  • Painful periods
  • Heavy menstruation
  • Severe abdominal pain
  • Intermittent bleeding between periods
  • Pain during bowel movements, intercourse, or when urinating

However, some patients are asymptomatic or are misdiagnosed with another condition such as irritable bowel syndrome (IBS) or pelvic inflammatory disease (PID). 

Diagnosing Endometriosis 

If Dr. Guerami suspects that you may suffer from endometriosis, he will perform a comprehensive examination using the latest technology to provide the most accurate diagnosis possible. Dr. Guerami will perform a pelvic exam of the cervix, ovaries, and uterus. Ultrasound using a transvaginal probe will also be conducted to gather imaging for a better view of your reproductive organs. In some cases, a laparoscopy is also necessary to allow the doctor to view inside the abdomen to determine where the endometrium is present and the extent of your condition. 

Dr. Guerami is a double board-certified fertility specialist dedicated to providing state-of-the-art care to help you overcome the challenges presented by endometriosis.

Your Treatment Options

Depending on your goals and the severity of your condition, Dr. Guerami can recommend the best solution for your needs. 

Addressing Your Symptoms

If you would like to address the pain caused by endometriosis or are trying to become pregnant, a laparoscopic surgery can be performed to remove the endometrial tissue. In some cases, medications or hormone therapy may also be recommended. 

Treating Infertility

To address infertility caused by endometriosis, Dr. Guerami offers two treatment options:

If you suffer from mild endometriosis, intrauterine insemination (IUI) may be beneficial to you. During IUI, semen will be placed directly into the uterus, bypassing the cervix. 
For patients with mild to moderate endometriosis, in vitro fertilization (IVF) is usually a better treatment option. During IVF, your eggs can be combined with your partner's sperm or a donor's sperm. Once an embryo has developed, it will be placed into your uterus. 

Dr. Guerami performs all fertility procedures himself to ensure the highest level of care.

We Are Here for You

Do not allow endometriosis to compromise your quality of life or prevent you from starting a family. With over 30 years in practice, Dr. Guerami is equipped to provide you with the best possible solution. Schedule your consultation today by contacting us online, or calling our office nearest you.

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Helping patients build a family is my passion. I am completely invested in your treatment and will apply my full knowledge and abilities to achieve your goals. Dr. Guerami

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We have 2 locations in the greater Dallas area.

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Dallas Office

8160 Walnut Hill Lane
Ste 208
Dallas, TX 75231

Open Today 8:00am - 4:30pm

More Info Directions (214) 345-6963

Frisco Office

8380 Warren Pkwy
Ste 201
Frisco, TX 75034

Open Today 8:00am - 4:30pm

More Info Directions (972) 377-2625