Endometriosis occurs when the inner lining of the uterus grows outside of the uterus. The lining can then attach itself to other areas such including the ovaries or the fallopian tubes. As well causing issues with fertility, this is often a painful condition.
There is no known cause that can be pinpointed for this painful disorder; however, there have been possible theories including:
• Hereditary factors
• Retrograde menstruation (period travels backwards through the fallopian tubes into the pelvis where they attach and grow
• Immune disorders
For many women, endometriosis can interfere with many aspects of their lives. Besides infertility issues, here are just some of the symptoms of endometriosis:
• heavy and/or irregular periods
• painful intercourse
• painful bowel movements
• urinary pain or difficulty
• abdominal pain
• backache
Sometimes if necessary endometriosis can be diagnosed (and treated) using laparoscopy. Laparoscopy is a minimally-invasive surgical procedure. Although there is no known cure for endometriosis, there are several treatment options, such as medications, that can be discussed with your health care practitioner.
Maya abdominal massage and acupuncture may help with blood flow to the reproductive organs and alleviate pain by eliminating toxins in the system. Herbal formulas and dietary changes may also be beneficial when treating the pain associated with endometriosis. Yoga can help to control weight gain and bloating that goes hand in hand with endometriosis. Yoga’s poses can also help to increase blood flow to the reproductive system and help to stretch the muscles in the back.
When endometriosis affects fertility, there are several options that can be discussed with one of the physicians at CNY Fertility Centers in Syracuse, Rochester, or Albany.
Request Consultation or Appointment
If you are a new patient and would like an initial fertility consultation, click here to request a phone or in-office visit, or call us toll free with your questions at 800-539-9870.


Video: Maya Abdominal Massage and IVF (In-Vitro Fertilization)


Hi!  My name is Lisa Stack and I’m the CNY Fertility Support Coordinator.  I wanted to upload a quick video talking about Maya Abdominal Massage and IVF (In-Vitro Fertilization).  If you’re pursuing an IVF cycle, Maya Abdominal Massage is absolutely available to you and is helpful in getting that wonderful, thick lining that we need for that embryo transfer.  It also helps in getting good, healthy blood flow and working through any blockages or adhesions that you may have around your ovaries and keeping them nice, quiet, and healthy so that you can produce as many eggs as possible, and the biggest and healthiest are really important for both of those.  Our Maya Abdominal Massage practitioners will walk you through the specific route that you need to take for your Maya Abdominal Massage for your maximum blood flow and the energy that is getting to your uterus and your ovaries. 
Unlike an IUI cycle, it’s not as important to have the blockages removed from your fallopian tubes, but it is important to make sure that your fallopian tubes are clear just to be sure as the embryo is developing so there aren’t any challenges there.  So it is helpful and important to be cognizant of your fallopian tubes while you are pursuing an IVF cycle.  So, if you’re interested in Maya Abdominal Massage, absolutely take a look at our other videos and make an appointment with our practitioners.  It does get some great healthy blood flow and some good energy and working through any blockages, adhesions, or tension that you may have in your uterus and in your ovaries.  Again, we do not want you to do Maya Abdominal Massage after you have ovulated.  After the egg retrieval, we want you to just relax and get ready for the embryo transfer.  You’d begin at the beginning of your cycle all the way through egg retrieval.  Those are some great times for you to spend time with yourself relaxing, focusing on your uterus, focusing on your ovaries, and the beautiful child you are trying to create. 
If you have any questions, please let us know.  We hope to hear from you!
Lisa Stack, Support Coordinator


Video: Maya Abdominal Massage and IUI (Intrauterine insemination)


Hi! My name is Lisa Stack and I’m the CNY Fertility Support Coordinator. I want to talk to you today about Maya Abdominal Massage and IUI or intrauterine insemination. Now if you’re pursuing an intrauterine insemination cycle, what you’re doing is we’re using medications to stimulate the ovaries to produce a few more follicles than normal and slightly larger. We’re also going to give you a medication to bring on ovulation at a time in point so we can bring you to the office and do a proper insemination, so we can catch all of the eggs that we can. IUI can be supplemented with Maya Abdominal Massage, and there’s some really great benefits to it. Maya abdominal massage will get some great, healthy blood flow to your entire pelvic area, especially to the uterus, fallopian, and uterine tubes. It’s important because we’re working on creating those big, beautiful eggs. So we need some good blood flow and also to relieve any tension that you may have out there and also remove any toxins around the ovaries and Maya Abdominal Massage can do that.
Similarly, when we’re looking for the egg to travel down the fallopian tube, we want to make sure there aren’t any adhesions or any blocks in the fallopian tubes, and Maya Abdominal Massage can work through any of those adhesions or tensions that you may have and help the egg completely fly down that tube nice and smooth, and avoid any trauma or difficulty there getting to the uterus. Once the egg reaches the uterus, you want to have a nice, thick uterine lining. Maya abdominal massage is integral to getting that healthy blood flow there, again releasing tensions, releasing toxins, and creating a nice, warm, healthy, relaxed environment for that embryo.
Now, if you’re interested in doing Maya Abdominal Massage, I suggest trying it before you make a new cycle just so you know what to do and what to expect so you’re not anxious just when you’re trying it out. You can begin Maya Abdominal Massage with your period and go through all the way to your ovulation date. So, when you take that trigger shot, you want to stop the abdominal massage and let your body ovulate and have a quiet opportunity to become pregnant. You also don’t want to do Maya Abdominal Massage if there is a chance that you could be pregnant, because it could pose some risks. So again, doing Maya Abdominal starring tat the beginning of your cycle every day, you can even do it a couple times a day, it’s completely up to you—all the way up through your ovulation creates a wonderful, warm, and relaxed environment for the embryo to be welcomed and to be nurtured into a healthy pregnancy. If you have any questions about this and you’re interested in Maya Abdominal Massage, please contact the CNY Healing Arts Centers or you can always shoot me an email and I can give you any more information that you would like. Best of luck!
Lisa Stack, Support Coordinator


Supplementing Your Donor Cycle with CNY Healing Arts


At CNY Fertility Center we believe that Traditional Chinese Medicine and other complimentary services at our CNY Healing Arts Centers can support a donor egg, embryo, or sperm cycle.  Trying to conceive while coping with infertility can be challenging both physically, and emotionally.  We want to assure you that you are not alone.  Whether you are using your own gametes, or you are participating in a donor cycle, you are welcome to explore our Healing Arts services.
Our CNY Healing Arts Centers hold many avenues of treatment for our patients utilizing a donor cycle.  Yoga, acupuncture, massage, and herbal supplements, are just a few examples of the rich treatments available.  As you are preparing for your cycle, you may benefit from the relaxing atmosphere of a yoga session, as it can help reduce stress and anxiety.  Maya Abdominal Massage can also be helpful in the beginning of a cycle, as you work to facilitate blood flow, and align the uterus in preparation for the embryo transfer.  Further along in your treatment, you may benefit from acupuncture before and after your embryo transfer, along with herbal supplements.  The treatment options are endless!
As you approach your cycle, we welcome you to visit our CNY Healing Arts Centers for a tour. During your first appointment, our practitioners will work to create the ideal protocol for your cycle. During your Healing Arts appointment, the focus will be on creating a warm, welcoming, and nurturing environment for your embryo transfer.  Our practitioners will facilitate this serene environment by working to decrease your stress level, and supplementing your cycle with Traditional Chinese Medicine.
If you are interested in complimenting your cycle with any of our CNY Healing Arts practices, please contact your closest location.  Our practitioners will be happy to answer any questions you may have, and walk you through your many treatment options.
Please visit our CNY Healing Arts website for more information:
For more information regarding Donor Egg or Donor Embryo cycles, please contact our Donor Coordinators:
You may contact the Donor Team by calling 800.539.9870 (toll free)
Or via email:
Pati Breh:
Stephanie Rogers:
Kari Gardner:

We look forward to hearing from you, and creating the family you have always wanted.
Our donation team would be happy to further explain the cycles available to you.  Please visit our website for more information:


CNY Fertility and Maya Abdominal Massage


Hi!  I’m Lisa Stack, your CNY Fertility Support Coordinator.  In my words of Support and Encouragement this week I mentioned Maya Abdominal Massage.  We are just getting it in our Albany office.  If you’re interested in trying it, please call CNY Healing Arts Center and they will get you in.  I wanted to share my experiences with you.  I tried Maya Abdominal Massage a few months ago because it was something new to the office that we were trying and we were recommending it to our patients.  I wanted to try it so I could give you my personal experience as opposed to just saying try this out, I’ve done it.  So I made an appointment with Erica.  It was very easy, very simple.  I answered just a couple of questions about just my medical and social history.  She also asks you loads of questions, so it’s similar to an acupuncture appointment.  You talk about not only your fertility, but your diet and just overall well-being.  They do a whole general assessment.  She asked a lot of questions pertaining to what I was eating, what my stress level was like, and any GI problems that I’ve noticed.  She really just took a whole-body assessment, and then utilized that then through her massage.

Once you go over the very beginning intake, you get on the table for a regular massage.  Instead of doing the whole body, she really focuses on the abdomen.  It’s really just from your chest down to your pelvis.  She goes through this very nice and deep, almost tissue massage, focusing around your belly button.  It may feel a little strange because in reality, they’re moving your organs and they’re aligning them right to where they should be.  You may feel a little pressure in some areas or a little bit of tightness, but that’s normal.  It’s kind of weird to have those sensations in the beginning because you’re not necessarily used to it, but know that it is working and that it is normal.  I noticed while she was doing the massage certain sensations in areas around my ovaries.  I asked her, “What are you feeling there?” because she kept moving over that spot.  Then she said that she could feel pelvic adhesions.  So, she was working through those adhesions and trying to loosen them up and realign them.

With Maya Abdominal Massage, the goal is to realign the abdomen.  Your energy there, your internal organs, just your whole digestive and reproductive system, we want to get it back to where it should be.  A good way that I do it–imagine that this is your uterus [demonstrating with fist].  Normally the uterus is tilted (sorry) this way in your pelvis. It sits in your pelvic region, and you have your pelvic muscles surrounding it, your ovaries are up here.  This is how your uterus is.  Sometimes, your uterus can get tilted forward or it can be backwards, or curved a little this way or this way.  So, Maya Abdominal Massage slowly works and gets your uterus back to where it should be, seated right in the pelvis and really just nice and snug, so that it’s not tilted one way or another, too far forward or too far back.  It really keeps to getting it snug right there where it should be.  It also works on any of those adhesions around that you hear are endometriosis that may get close to your uterus and impact your fertility.  It also works with your intestines and your colon to help you realign those and to help any digestion problems that you may have.  A lot of people that suffer from IBS, reflux or any of those GI problems notice some improvement after utilizing this. It is also important to note that it is for men and women.  It’s not just the females, because a lot of stuff is going on in the males as well.  It can help with reproduction and GI problems with men at the same time as with women.

So you have the massage, she’s going through, she’s doing the massage on you herself, and then at the end, she teaches you how to do it.  You do it for her so she can check and make sure you’re doing it the right way.  So what you’re really doing is utilizing your hands in certain motions to help drive home, really do the massage every day and take time to realign all of those muscles and those great organs and energy in your abdomen.  Now, some of our patients have had great results from this. They find it relaxing, they find it nice to spend ten minutes a day just working on their abdomen and focusing on it and sending it some good, positive energy and love down there.  I’ve kept up with it and I really enjoy it.  I’ve found that I don’t notice those adhesions as much, I’ve noticed GI help from it, and just overall I really enjoy doing it.  I find it very soothing; andI find it very comforting to do.  If you have any questions, please let me know.  I’d love to go more into my experience with it.  Any of our practitoners can also help you out with it, if you have any questions.  We recommend Maya Abdominal Massage for just about everyone.  It is good to do at any time up until the point where you may be pregnant.  So that would be transferIUI, timed of course.  If you may be pregnant, then of course, it’s the time to stop because you don’t want to be putting too much pressure down there and moving things around.  Up until that point, feel free to use it.

If you have any questions about your particular cycle or your medical history with the Maya Abdominal Massage, please feel free to ask.  Don’t ever feel like you’re in the dark, or that you’re doing this on your own.  This is another great tool, I hope you try it.  Good luck!


April's Journey to Fertility: Week Twenty Eight


Fertility SymbolApril is a CNY Fertility Center patient and has been on her journey to fertility for approximately two and a half years. April will share candid stories and a unique perspective on the fertility challenges many women and couples face.
Week Twenty Eight: Making Yourself a Priority
Several weeks ago Kristen Magnacca held a Love and Infertility Workshop. Kristen and I have met in person two times and she has given me two half hour coaching lessons over the phone. Usually, I feel much more focused and confident that my fertility challenges will work out after speaking with or listening to her. During the November teleconference Kristen directly asked me the question, “What are you doing everyday for you?”
Like all “new” endeavors, I did exceptionally well with Kristen’s tips on how to survive infertility after I first heard her speak. One of Kristen’s top suggestions is for women facing fertility challenges to spend time each day doing something only for them.  For a while I was writing my gratitude list and/or walking everyday. However, summer faded away and the pace of life became much more hectic. I began working full-time again and the cold weather set in (a weak excuse for not walking regularly, I know!).Oftentimes however, the more spiritual priorities of my life fall off of my to-do list. Then the guilt creeps in. I should have gone to yoga…I should have written my gratitude list…We haven’t gone to church in weeks…I didn’t do the MAYA abdominal massage today…I really should have taken the dog for a walk today – even he was upset by my lack of motivation! Of course, the list could go on for pages. Read more


April's Journey to Fertility: Week Twenty Three


Fertility SymbolApril is a CNY Fertility Center patient and has been on her journey to fertility for approximately two years. April will share candid stories and a unique perspective on the fertility challenges many women and couples face.
Week Twenty Three: De-cluttering
As Erin McCullough put it during my recent Maya Abdominal Massage (MAM), it is important to do what nurtures our spirit and promotes our own personal growth. In other words, surrounding myself with positive opportunities and experiences is essential to my well-being. I had just informed Erin that there was a work commitment that was not going well, and because I was becoming consistently frustrated by this particular commitment, I had to make a choice. In this instance, I had to resign from an extra curricular commitment. This responsibility was not worth the anxiety it was causing me. Nor was it worth the monetary stipend I would receive in June had I fulfilled my commitment.
Please note, I am not saying that we should simply toss aside our commitments whenever they become too demanding (otherwise, how many of us would still be working toward motherhood?). Before I resigned from this extra curricular position, I discussed how I was feeling with my husband and close co-workers who all had the same encouraging thoughts, which were to focus on what was best for me. In this case, I needed to de-clutter my commitments a bit and reconnect with what was important to me. I concluded that first and foremost, I have one incredibly valuable priority right now – to work on my overall well-being so I can achieve a healthy pregnancy. Working is important, too, but taking on an extra curricular activity that causes me angst and frustration is not healthy or helpful. Instead of complaining or being upset, I mindfully decided to move forward by leaving something behind. Read more


Utilizing Maya Abdominal Masage in Your Fertility Treatment Plan


Maya Abdominal Massage is currently being offered in the CNY Healing Arts locations at Syracuse and Rochester, NY.  This technique helps with a multitude of health related issues including, infertility.
Maya Abdominal Massage is an external massage that gently lifts and guides the uterus into its optimal position in the lower pelvis.  The uterus is held in position by over 10 ligaments.  Ligaments, when stressed or strained cause the uterus to become mal-positioned.  If the uterus is mal-positioned, women experience a multitude of symptoms including a displaced uterus.
A displaced uterus can occur from a number of issues.  Any injuries to the sacrum or tailbone from a fall or car accident, high impact exercise on cement surfaces (running), past surgeries, weak pelvic floor muscles, or chronic muscle spasms around the low back and sacrum can all contribute.  When this has occurred, imbalances happen in the body including endometriosis, uterine fibroids, uterine polyps, irregular ovulation, chronic miscarriages and fertility issues.  Once the uterus is in its correct position, there is improved homeostasis to support and enhance fertility.
Treatments include massage, diet and lifestyle modifications, fertility yoga and herbal therapies to enhance fertility.  Individuals are also taught self care which greatly aids in the improvement of the position of the uterus.  The current success rate ranges from 30-40%.  These positive results happen when women adhere to the protocol of daily self care and conceive within three to six months.
Maya Abdominal Massage also treats a number of other issues in both females and males.  A full listing can be found on the CNY Healing Arts website here along with a listing of our Rainforest Remedies.  Please contact either the Syracuse (315.671.5755) or Rochester (585.244.1280) locations for further information.
Erika Lutwin, LMT
CNY Healing Arts, Syracuse, NY


Reproductive Dysfunction


Hi this is Dr. Rob talking about reproductive dysfunction, infertility, the inability to conceive and recurrent pregnancy loss. All these things affect our ability to conceive and deliver a healthy baby.

A 20% delivery rate per month is normal. After one year it may drop down to the 5-10% per month range and after two years it may drop to 1-5% per month range, but it doesn’t drop to zero! Keeping at it, I’m finding, is the key to all of this and I believe that stress, anxiety and fear are some of the major causes of reproductive dysfunction.

I believe in treating the patient as a whole entity, not just treating their reproductive organs. The mind, body and spirit play a huge role in each person’s day to day wellness and quality of life. Incorporating things like yoga, meditation, acupuncture, and maya abdominal massage are some steps from eastern treatments which work toward healing and normal reproductive function. Certainly it’s also important to look at western medical treatments for things such ovulation failure, pelvic adhesions, endometriosis, tubal factors, uterine factors such as uterine fibroids or intrauterine adhesions and diminished ovarian reserve from age factor infertility. All these can all affect egg function and implantation.

Let us not forget the male and sperm factors. There are two important halves to healthy reproductive function, and sexual dysfunction for many of us, can begin with the very basic inability to come together at the right time. There may be an inability to deposit sperm in the right place. There is also the question that if the sperm is properly placed, is the semen of normal count, motility and function?

In reality it all comes down to function, even though everything looks normal, regular cycles every 28 days, a normal hysterosalpingogram that documents that the fallopian tubes are open and the uterus is normal. A semen analysis that documents that there are at least 20 million sperm with 50% motility and the morphology is fantastic and normal. It’s all about the function of our organs (including the brain!), and the gametes. With unexplained factor (idiopathic) infertility there are unknown components preventing conception. It could be a genetic or chromosomal issue, a immunologic factor or a hormonal issue. We can treat these all with eastern and western treatments. We should start with the mind in all of these. With visualizing exactly what we want, we want – a baby, a family. There is an instinctual natural drive for these things. We do harbor fear, anxiety, worry, regret, guilt and judgment. Through yoga, meditation, acupuncture, massage, herbs, support group, connecting positively with other women and sharing stories, often sharing our pain, we can let it go.

I believe that journaling each and every day, a simple five minute journal entry, is helpful. Just write down how you are feeling. Then continue with working on the positive mantras of the day with meditation, which is really important. It can help. Studies by Ali Domar, of the mind body institute at Boston IVF have shown an increased success for patients who included a mind-body-spirit regimen with fertility treatments. Randine Lewis has shown with eastern treatments, significant improvements in outcomes that often do not require shots or pills or surgeries, both for the male and the female.

The fertility evaluation should start with sharing your story with your practitioner, whether it’s a Reproductive Endocrinologist, an OBGYN, family doctor or a Traditional Chinese practitioner. Share your story, or even if it’s with your partner or friend, share your story. There is guidance, there is assistance there.

Some blood work may be important for both the male and female. Patients may benefit from testing hormone levels, looking at immunologic factors, karyotyping and chromosomal factors. Performing a hysterosalpingogram to look at the fallopian tubes and uterine patency can add to the diagnostic picture. A pelvic ultrasound can be performed to look at the uterus, ovaries, ovarian reserve and fibroids. Additionally a laparoscopy and hysteroscopy could be recommended. These are operative procedures to look into the woman’s pelvic organs and uterine cavity. Through these procedures we are able to look for adhesions which may affect the transport of the egg and sperm. Both hysteroscopy and laparoscopy are out patient procedures, often done in the office.
Endometriosis is an infertility factor which we believe is the implantation of the glands from the endometrial cavity, either coming directly out of the fallopian tube or just spontaneously growing on the reproductive organs, causing inflammation and scar tissue and sometimes diminishing ovarian reserve. Via the laparoscopy, endometriosis and adhesions can be removed and increase a couple’s odds of delivering a baby.

It may be that the cycles are regular, the fallopian tubes are open and the semen analysis is normal. It may be as simple as trying a few timed clomiphene citrate cycles with intrauterine insemination, which will bump your delivery rate from about 1-5% per cycle to 5-10% per cycle. There are some side effects from medications. Clomid has an anti-estrogenic effect and can often cause some emotional upheaval, some depression, anxiety, PMS type symptoms, or premenstrual syndrome.

There are many options available to couples experiencing infertility, both invasive and non-invasive, Eastern and Western, and each offers some benefit to the patient guiding them closer to parenthood. I believe that doing something is always better than doing nothing, especially when trying to create a family. For more information about any of our services you can call CNY Fertility Center and CNY Healing Arts and speak with our highly knowledgeable staff.
Have a spectacular day!
Dr. Rob


April's journey to fertility: Week thirteen


Fertility SymbolApril is a CNY Fertility Center patient and has been on her journey to fertility for approximately two years. April will share candid stories and a unique perspective on the fertility challenges many women and couples face.
Week 13: Maya Abdominal Massage – You will have to do some work, too!
When many of us think of a massage, we think of relaxation and escape. The Maya abdominal massage, though it does provide relaxation, is not necessarily an escape and works to re-balance the spiritual center (uterus). According to the article, A Time-Honored Alternative: Mayan Abdominal Massage by Jill DeDominicis, MAM helps treat infertility and other issues (irregular menstrual cycles, ovarian cysts, digestion, headaches, etc.) by “addressing and removing blockages in the abdominal area for better chi flow throughout the body.” MAM also works to correctly position the uterus to ensure there is more blood flow to the area and enhances circulation to the ovaries and fallopian tubes. If any of you have been told you have a tipped uterus, MAM also addresses this issue, which may indirectly impair fertility. Additionally, MAM flushes toxins from the body and aids in digestion and helps restore hormonal balance. (See for additional information.) Read more