

It's Not Just "Bad Periods:" What You Need to Know about Adenomyosis and Fertility with guest Dr. Armando Hernandez-Rey
Full episodes notes are on Dr. Aimee's website.
In this episode, I’m shining a spotlight on adenomyosis: a condition that’s often misunderstood and overlooked, yet can have a profound impact on fertility and overall uterine health. I’m joined by Dr. Armando Hernandez-Rey, a board-certified reproductive endocrinologist and founder of Conceptions Florida, who is at the forefront of treating complex reproductive health issues, including adenomyosis, endometriosis, and recurrent pregnancy loss.
Together, we dive deep into what adenomyosis is, how it differs from endometriosis, why it’s so frequently undiagnosed, and what it means for those struggling with infertility or recurrent pregnancy loss. Dr. Hernandez-Rey shares his expertise on diagnosis, treatment options (including the latest in minimally invasive therapies) and how patients can best advocate for themselves. Whether you’re newly diagnosed or searching for answers, this conversation is packed with insights to empower you on your fertility journey.
In this episode we cover:
- The difference between adenomyosis and endometriosis, and why that distinction matters
- Why adenomyosis is often missed or misdiagnosed in fertility workups
- The impact of adenomyosis on implantation, pregnancy outcomes, and miscarriage risk
- Diagnostic tools: ultrasound vs. MRI and what to ask your doctor
- Treatment options, including hormonal therapies and emerging minimally invasive procedures like radiofrequency ablation
- How to advocate for yourself and what questions to ask your fertility specialist
- Real-world outcomes and statistics from Dr. Hernandez-Rey’s clinical experience
Resources:
Dr. Armando Hernandez-Rey’s practice: Conceptions Florida
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