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It is true that endometriosis can be an insidious threat to a couple trying to realise their dream as it would appear to affect some 10-15% of women at a reproduction age, and this rate increases for women facing fertility difficulties. Unfortunately, the value of the CA-125 index is somewhat limited, and I would say in your case the CA-125 is value is rather questionable. On the other hand, many women with endometriosis have no clinical signs or clear symptoms, apart from fertility problems. A definitive diagnosis of the condition can only be made with laparoscopy and a histological examination of the suspect areas. We would recommend that you don’t make any rushed decisions. An evaluation at Embryolab will provide you with a specific assessment. Based on the information you have given us, it is unlikely that endometriosis is the source of your problems. Even if the opposite is proven to be the case, modern protocols and IVF methods can help you to achieve your goal.