Doctor-led fertility care for women with endometriosis.
Most women find Dr. Gina Terinoni after years of failed treatments — multiple IVF cycles, anti-inflammatory protocols, sometimes surgery — without the underlying Traditional Chinese Medicine pattern ever being addressed. That pattern is Blood Stasis. And clearing it is the foundation of pattern-based fertility care for endometriosis.
Meet Dr. Gina Terinoni.
Dr. Gina Terinoni is a board-certified Doctor of Acupuncture and Chinese Medicine with nearly 30 years of clinical experience helping women 35+ become pregnant. Her work specializes in identifying the underlying Traditional Chinese Medicine fertility patterns — especially Blood Stasis, the pattern most often associated with endometriosis — and refining pattern-specific herbal and lifestyle protocols month by month. She has helped over 2,000 women and couples through their fertility journeys, working alongside reproductive endocrinologists, surgeons, and IVF clinics when those approaches are part of the path.
Why endometriosis blocks fertility — in plain language.
There's a reason pattern-based care succeeds where supplement stacks and isolated IVF cycles often stall. The body has to be cleared first.
Endometrial tissue builds little blocks and mounds in the body over years. Blood and oxygen can't circulate freely. Nutrients can't reach the developing eggs the way they should — even when supplements are flooding in. The endometrial lining of the uterus slows down, gets murky, stops being the rich, receptive environment it needs to be for implantation.
In Traditional Chinese Medicine, this pattern has a name: Blood Stasis. It is the underlying imbalance that endometriosis is the Western diagnosis of. And in Dr. Gina's clinical experience, it is the imbalance that must be cleared before fertility care of any kind — IVF, natural conception, or assisted reproduction — can fully take effect.
What Dr. Gina looks for — beyond the diagnosis.
Three places where Blood Stasis tends to show up clinically. Dr. Gina reads all three together — not in isolation.
Color & vein signs
- Purplish coloring across the body of the tongue
- Red spots, especially toward the sides or tip
- Engorged veins underneath
- Purple veins visible beneath the tongue's surface
Bleeding & rhythm
- Clots — small or large
- Brown blood at the start, end, or throughout
- Dark red blood, sometimes thick
- Painful cramping (though not always)
Pain & system signs
- Sharp pain anywhere — not just pelvic
- Headaches or migraines
- Digestive disturbance
- Gut and womb biome inflammation
Many high-functioning, high-pain-tolerance women have significant endometriosis with no painful symptoms at all. The Blood Stasis pattern is still unmistakable on the tongue and in the menstrual cycle — even when there's no pain to point to.
Eight failed IVFs. One TCM diagnosis. Pregnant in ten months.
The first IVF client Dr. Gina ever worked with.
She came in after eight failed IVF cycles. A high-stress lawyer. Her period was the only thing in her body that seemed normal — on paper. She had no painful cramping. No sharp pelvic pain. By every Western metric, she was a healthy woman dealing with "unexplained" failed cycles. The Western diagnosis was endometriosis.
Then Dr. Gina read her tongue. Blood Stasis was unmistakable — the coloring, the veins, the pattern. Even without pain. The body was telling a different story than the labs.
The work that followed was honest, layered, and unrushed. Stress reduction built into the daily structure of a lawyer's life — scheduled breaks, exercise, intentional pauses. Food shifts — the foundational ones, plus removing sugar entirely. Herbal medicine matched specifically to her pattern: formulas that both nourished blood and invigorated its movement.
The body, given the right framework, knew exactly what to do.
What most women try first — and why it stalls.
IVF without addressing the stasis
Many women are told IVF is the only path. But IVF on its own doesn't clear Blood Stasis. Eggs can be retrieved, embryos can be transferred — but the implantation environment is still murky, and the pattern that endometriosis represents is still in place. This is why so many women cycle through multiple failed IVF rounds wondering what went wrong. The underlying pattern needed to be cleared first.
Random anti-inflammatory supplements
Generic anti-inflammatory stacks can take the edge off mild cases. But for women with severe endometriosis and severe Blood Stasis, supplements alone are not going to clear it. Pattern-specific clinical-grade herbal medicine, matched to each woman's actual presentation, is fundamentally different from a one-size-fits-all supplement protocol.
How pattern-based care works alongside surgery.
Surgery is real intervention. Surgeons do these procedures every day, but it is trauma to the body — not a small thing.
The best outcomes Dr. Gina has witnessed for women navigating endometriosis surgically come from combining surgical removal of endometrial tissue with blood-invigorating herbal medicine — started promptly post-surgery to prevent recurrence. Research and clinical experience both support this combined approach.
Before surgery: the body is strengthened. Nutrition is dialed in. Inflammation is brought down. Stress is regulated. The woman walks in stronger than she would otherwise.
After surgery: scar tissue is addressed proactively. Inflammation is treated. Blood-invigorating herbal medicine begins immediately. The womb biome and gut biome are restored. The Blood Stasis pattern is prevented from re-forming.
Dr. Gina works alongside surgeons — not against them. The full timeline is held with care.
How long the pre-pregnancy work actually takes.
Standard egg quality preparation is 90 days. For endometriosis, the timeline is honest about the years the pattern has been building.
for every year of having endometriosis.
Not just diagnosed years. Actual years living with the condition. Because the average diagnosis takes nine years, most women are working with significantly more history than their medical chart shows. The Blood Stasis pattern has had time to build. Careful, layered clearing is what shifts it.
The work involves more than herbal medicine. It involves gut biome correction, womb biome inflammation work, stress regulation, food preparation that supports nutrient absorption, and the daily structure of the woman's life. Every part of the day gets examined — what's coming in, what needs to come out, what can make space for healing.
From self-paced to fully personalized.
Each path follows the same pattern-based clinical methodology. Choose the one that fits the moment.
Dr. Gina's Egg Quality Method
A video course that identifies each woman's primary fertility pattern (six total, including Blood Stasis for endometriosis), then walks through pattern-specific foods, herbs, supplement guidance, acupressure points, and lifestyle support. Lifetime access.
Get the CourseEmerald Womb Inner Circle
A doctor-led monthly membership. Personal tongue + menstrual cycle reviews on the first Friday, Tuesday Tea Q&A videos, monthly live teaching call, and Dr. Gina AI 24/7. Strongly recommended for endometriosis cases that need ongoing pattern adjustment.
Join the CirclePersonalized Breakthrough Plan
A one-on-one engagement with Dr. Gina. Comprehensive health questionnaire, personalized video review, 1:1 consultation, and a customized fertility action plan within 24 hours. The entry point for committed 1:1 work.
Get Started 1:1Not sure where to start? The Free Fertility Pattern Quiz identifies the primary pattern in 10 questions and 3 minutes — with a pattern-specific video from Dr. Gina.
Common endometriosis fertility questions.
Does Dr. Gina specialize in endometriosis fertility?
Yes. Endometriosis is one of Dr. Gina's primary fertility specialties. With nearly 30 years of clinical experience, she works with women navigating endometriosis through Traditional Chinese Medicine pattern differentiation — identifying the Blood Stasis pattern that underlies most endometriosis cases — and supports both natural conception and IVF pathways.
What is the TCM diagnosis for endometriosis?
In Traditional Chinese Medicine, endometriosis is most commonly associated with the Blood Stasis pattern. Blood and energy circulation are blocked or stagnant in the reproductive system, preventing fresh blood, oxygen, and nutrients from reaching the ovaries, eggs, and uterine lining. Clearing the Blood Stasis pattern through pattern-specific herbal medicine, food, and lifestyle is the foundation of TCM-based endometriosis fertility care.
Can I have endometriosis without any pain?
Yes. Many high-functioning, high-pain-tolerance women have significant endometriosis with no painful symptoms at all. The Blood Stasis pattern may still be clearly visible on the tongue (purple coloring, red spots, engorged veins), in the menstrual cycle (clots, dark or brown blood), and in subtler body signs (headaches, migraines, sharp pain elsewhere). A formal endometriosis diagnosis takes an average of nine years. Pain is not a reliable indicator.
Should I do IVF or natural conception with endometriosis?
Both paths are valid. Dr. Gina supports women on both. However, IVF on its own does not clear the underlying Blood Stasis pattern that endometriosis represents in TCM — which is why many women cycle through multiple failed IVF rounds before addressing the stasis. Whether the path is IVF or natural conception, the pattern-based work to clear stasis, support egg quality, and improve uterine lining is foundational.
How long does it take to prepare for pregnancy with endometriosis?
Standard egg quality preparation is 90 days. For women with endometriosis, Dr. Gina recommends a minimum of one additional month of pattern-based preparation per year of having endometriosis — not just diagnosed years, but actual years living with the condition. The longer Blood Stasis has built up, the more careful clearing is required before pregnancy preparation can fully take effect.
Should I have surgery for endometriosis before trying to conceive?
It depends on the individual woman's history, severity, and circumstances. When surgery is the right path, research and clinical experience show the best outcomes come from combining surgical removal of endometrial tissue with blood-invigorating herbal medicine — started promptly after surgery to prevent recurrence, with pre-surgical strengthening and post-surgical scar tissue and inflammation care. Dr. Gina works alongside surgeons, not against them, and supports women through the full timeline.
Does Dr. Gina work with women internationally for endometriosis?
Yes. Dr. Gina works with women across the United States and internationally through online courses, the Emerald Womb Inner Circle membership, and 1:1 consultations via Zoom and private messaging. Pattern-based clinical care does not require an in-person visit — tongue analysis can be done by photo, and menstrual cycle and clinical history are reviewed in detail.
Pattern-based clarity — a free first step.
The free Fertility Pattern Quiz identifies the primary pattern in 10 questions, 3 minutes — with a pattern-specific video from Dr. Gina explaining how to begin addressing it.