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Need some advice and question about laparoscopy

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Dec 13, 2013, 12:58pm   #1
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Mellee
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Hi everyone!

Just wondering if anyone's had a laparoscopy to diagnose endometriosis, especially when you have no symptoms other than infertility. I'd also love to hear everyone's advice on my situation...

My story: I just turned 33 and we've been TTC for almost 2 years with no success. The first year we did not try to time intercourse and probably had sex once a week. The second year (actually the past 10 months) we've been timing intercourse, or rather, doing the BD every other day from about day 8 of my cycle on up to a few days after ovulation. We've also seen a specialist and all of our tests have come back normal. I appear to be ovulating normally (based upon ultrasound and bloodwork), no ovarian cysts, normal hormone panel normal, my tubes are clear and DH's two semen analyses were fine. Since the doctors can't find anything wrong, we were diagnosed with "unexplained infertility"- sooo frustrating!!

Anyways, my doctor said my options are to either: 1) keep trying naturally, 2) have a laparoscopy, or 3) proceed with IVF. The laparoscopy would be to check if I have endometriosis, even though I do not have any signs of endo other than "infertility." I'm considering the procedure but I am a little scared/worried about having elective surgery when I don't even have symptoms, plus the $2,500 out of pocket cost could just go toward IVF. On the other hand, I don't want to waste more time or go for IVF just to have it fail and wonder if I should have had the procedure.

Thanks for reading this far and TIA for any advice or support!!
Dec 15, 2013, 1:25pm   #2
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Mellee
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Anyone??
Dec 17, 2013, 12:13am   #3
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I too had "unexplained infertility" My hormone levels were normal, Dh's SA was normal, I did have elevated thyroid levels but once I got on synthroid they became normal. I ended up doing IVF to get pregnant, I saw 2 different REs and neither ever brought up the possibility of endo. nor suggested I have a lap to investigate further. If I were in your position I do not think I would go for a lap.

I did 2 rounds of Clomid with Timed Intercourse, one round of Clomid with IUI, a round of Femera with IUI where I had a trigger shot, then finally moved on to IVF when I got pregnant.
Dec 26, 2013, 6:30pm   #4
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Ive had 2 laps for endometriosis but that was based on my symptoms. Usually when the doctors suggest endo, they have very high suspicions, its not by default...
Dec 27, 2013, 12:39pm   #5
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alliemia
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Go straight to ivf
Dec 27, 2013, 3:30pm   #6
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Mellee
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Originally Posted by mellecyn
Ive had 2 laps for endometriosis but that was based on my symptoms. Usually when the doctors suggest endo, they have very high suspicions, its not by default...
Thank you for sharing your experience- that's why I'm so hesitant to have the lap- because I don't have symptoms other than infertility...
Dec 27, 2013, 3:31pm   #7
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Mellee
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Originally Posted by alliemia
Go straight to ivf
Thanks for responding- can you explain why? I'm pretty sure at this point I will NOT do the lap- but I'm still considering trying IUI before IVF.
Dec 27, 2013, 6:38pm   #8
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Originally Posted by Mellee
Thank you for sharing your experience- that's why I'm so hesitant to have the lap- because I don't have symptoms other than infertility...
But i also want to add that, when you do a lot of reading about the subject like i have you also see that a lot of women discover they have endo only in the case of unexplained infertility, they didnt have any other symptom. I would ask your doctors again what make them think that.
Its a common disease, but still, more inforlation wouldnt hurt!
Dec 27, 2013, 10:49pm   #9
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alliemia
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Originally Posted by Mellee
Thanks for responding- can you explain why? I'm pretty sure at this point I will NOT do the lap- but I'm still considering trying IUI before IVF.
I have endo but never had a lap. Did IVF as first line treatment, was pregnant in a month. Had remaining embryos frozen, transferred them a year and half later, pregnant again. IUI isn't that much higher success rate than intercourse. IVF is your best chances, IMO. Why spend any more money on tests? IVF will bypass everything and put an embryo right where it needs to be.
Dec 27, 2013, 10:55pm   #10
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Mellee
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Originally Posted by alliemia
I have endo but never had a lap. Did IVF as first line treatment, was pregnant in a month. Had remaining embryos frozen, transferred them a year and half later, pregnant again. IUI isn't that much higher success rate than intercourse. IVF is your best chances, IMO. Why spend any more money on tests? IVF will bypass everything and put an embryo right where it needs to be.
That's reassuring- one of my concerns was that endo (if I even have it) would effect IVF. Congrats on your pregnancy!
Dec 27, 2013, 10:58pm   #11
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alliemia
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Egg quality is often an issue with endo, especially if its on the ovaries. In IVF, they will weed out the bad quality eggs and use the better ones. IUI with endo, IMO is not high chance of success. Trying to remove or treat endo before IUI is time consuming and it's constantly growing back. I say bypass everything, do IVF.
Dec 27, 2013, 10:59pm   #12
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alliemia
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Originally Posted by Mellee
That's reassuring- one of my concerns was that endo (if I even have it) would effect IVF. Congrats on your pregnancy!
Thanks. Endo will not affect it, IMO. And I have severe endo. My kids are 7 and 9 now, so I did it 10 yrs ago. Technology is even better now.
Jan 16, 2015, 11:26am   #13
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Originally Posted by alliemia
I have endo but never had a lap. Did IVF as first line treatment, was pregnant in a month. Had remaining embryos frozen, transferred them a year and half later, pregnant again. IUI isn't that much higher success rate than intercourse. IVF is your best chances, IMO. Why spend any more money on tests? IVF will bypass everything and put an embryo right where it needs to be.
Omg, this post made me feel so much better. Thank you.
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