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What Every Woman Should Know About Endometriosis, Fertility, and Reproductive AgingLongevity & Aging

What Every Woman Should Know About Endometriosis, Fertility, and Reproductive Aging

Endometriosis and adenomyosis affect millions of women yet are routinely underdiagnosed by years, often silently damaging fertility and quality of life. Reproductive surgeon Dr. Renato Tomioka joins Peter Attia to explain the biology behind these estrogen-driven conditions, how specialized ultrasound and MRI are replacing invasive diagnostic surgery, and how pain, inflammation, and nerve involvement accumulate over time. The conversation covers fertility preservation strategies including egg freezing timing and IVF success rates, the overlooked role of embryo quality and maternal age, and emerging technologies like mitochondrial replacement and stem-cell-derived eggs. Earlier diagnosis and targeted treatment, the episode argues, can meaningfully reduce years of suffering and protect long-term reproductive health.

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