I 
119TH CONGRESS 
1ST SESSION H. R. 3589 
To expand and promote research and data collection on reproductive health 
conditions, to provide training opportunities for medical professionals 
to learn how to diagnose and treat reproductive health conditions, and 
for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 23, 2025 
Mrs. HARSHBARGER (for herself and Mr. MOORE of West Virginia) introduced 
the following bill; which was referred to the Committee on Energy and 
Commerce 
A BILL 
To expand and promote research and data collection on 
reproductive health conditions, to provide training oppor-
tunities for medical professionals to learn how to diag-
nose and treat reproductive health conditions, and for 
other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Reproductive Em-
powerment and Support Through Optimal Restoration 
Act’’ or the ‘‘RESTORE Act’’. 
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SEC. 2. FINDINGS. 
Congress finds the following: 
(1) All women and men are worthy of the high-
est standard of medical care, including the oppor-
tunity to assess, understand, and improve their re-
productive health. Unfortunately, many couples do 
not receive adequate information about their repro-
ductive health and do not have access to restorative 
reproductive medicine. 
(2) There is a growing interest among women 
to proactively assess their overall health and under-
stand how factors such as age and medical history 
contribute to reproductive health and fertility. 
(3) Reproductive health conditions are the lead-
ing causes of infertility, which affects 15 to 16 per-
cent of couples in the United States. Such conditions 
include the following: 
(A) Endometriosis, a disease where tissue 
resembling endometrial lining tissue grows out-
side of the uterus. The tissue often adheres to 
different organs, disfiguring them and, through 
scar tissue or adhesions, can make the organs 
stick to one another or to the pelvic walls. It 
has been found in the abdominal organs, the 
bowel, the diaphragm, the lungs, the brain, and 
the eye. It is a progressive disease and has been 
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compared to growing like cancer. Endometriosis 
is often diagnosed in stages, with Stage I as the 
mildest form and Stage IV as the most severe 
and widespread form. The average diagnosis 
delay for endometriosis is 6 to 12 years. Endo-
metriosis frequently goes undiagnosed, and 
women may suffer for years with painful peri-
ods, pelvic pain, or infertility. The cause of 
endometriosis is unknown. 
(B) Adenomyosis, a disease that occurs 
when endometrial tissue (tissue that would nor-
mally line the inside of the uterus) grows into 
the muscle layer of the uterus. Adenomyosis is 
different from, but can exist concurrently with, 
endometriosis. Adenomyosis may increase the 
risk of miscarriage and preterm labor and may 
contribute 
to 
infertility. 
The 
cause 
of 
adenomyosis is unknown. 
(C) Polycystic ovary syndrome, a reproduc-
tive hormonal disorder that causes cysts to 
grow on the ovaries, usually as a result of hor-
monal imbalances. Polycystic ovary syndrome 
affects approximately 15 percent of women 
overall but is more common among women with 
infertility. It is more prevalent among women 
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with obesity and insulin resistance. Women with 
polycystic ovary syndrome who are trying to 
achieve pregnancy are commonly prescribed oral 
ovulation medication and hormonal injections 
that stimulate ovulation. Effective diagnosis 
and treatment exist, and should be made avail-
able for all women. Accurate and timely diag-
nosis and treatment can correct underlying hor-
monal imbalances, critical for both long-term 
health improvements as well as for fertility out-
comes. 
(D) Uterine fibroids, which are muscular 
tumors that grow in the wall of the uterus. 
While not all women will experience symptoms 
associated with fibroids, if the tumors are large 
enough or embedded far enough in the uterine 
lining, they can lead to pain and heavy bleed-
ing. Treatment for fibroids may include assess-
ment of underlying hormonal imbalances, 
hysteroscopic 
myomectomy, 
abdominal 
myomectomy, uterine fibroid embolization, and 
uterine artery embolization. Uterine fibroids 
can increase risks of preterm labor, pregnancy 
complications leading to a cesarean section, and 
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placental abruption, among other risks. The 
cause of uterine fibroids is unknown. 
(E) Blocked fallopian tubes, a condition 
where the fallopian tubes are blocked by tubal 
spasm, scarring from inflammatory conditions, 
debris, tubal polyps, tubal ligation, prior ectopic 
pregnancy, pelvic adhesions, endometriosis, 
prior pelvic infection (pelvic inflammatory dis-
ease or ‘‘PID’’). Approximately 1 in 4 women 
with infertility have a tubal blockage. This con-
dition makes achieving pregnancy difficult, if 
not impossible. Treatments for a blockage in-
clude fallopian tube recanalization, tubo-tubal 
anastomosis 
(tubal 
ligation 
reversal), 
or 
neosalpingostomy/fimbrioplasty. 
(4) Research shows 4 or more conditions or fac-
tors are the cause of most male and female infer-
tility. 
(5) There is a gap in research and care for 
male and female reproductive health conditions, 
which affect many Americans struggling with unex-
plained infertility. 
(6) Restorative reproductive medicine aims to 
diagnose and treat underlying hormonal and other 
imbalances, restore health where possible, and im-
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