Endometriosis affects an estimated 1 in 10 women, yet it remains underdiagnosed and misunderstood. How can you know if you have endometriosis? Why is it often missed? And what treatments—both surgical and medical—can provide relief? We spoke with Lora Shahine, MD, a double board-certified reproductive endocrinologist and OBGYN at Pacific North West Fertility, to break down its complexities – why symptoms vary, why it’s tough to detect, and how it impacts fertility. We also explored cutting-edge approaches in fertility care, emphasizing the importance of listening to patients. If you're experiencing symptoms, know that you have the right to advocate for yourself and seek the care you deserve.