So I guess that it's mostly Catholics that go the route we are headed on, or that's what the RE said... opting for surgery over IVF. Though we're open to IVF and have absolutely no moral qualms about it at.all.
We met w/the RE this morning and after lots of discussion we decided to do a lap since she says she is 90% sure I have endometriosis. She didn't press for it, since she said that they have really moved away from surgery (and to IVF, unless you're Catholic) though she loves doing surgery. She said she would be fine to just keep doing our current protocol (injects/IUI), or to do the lap and then back to treatments (our choice), or straight to IVF (which she did not recommend). She still sticks to the mantra that she doesn't think that we need IVF, whatever the hell that means (though I know what she thinks it means). She thinks of our real TTC journey beginning after my septum surgery, oh how I wish that were true.
She said it's "controversial" as to whether the lap will help me get pg (meaning it hasn't been definitively shown to be the rule), but also that it would be worth it for my quality of life and peace of mind even if I do end up needing IVF in the end. She said that surgery is actually most effective if the endo is mild (which she thinks mine is, though she has no way of knowing this), which is of course counter intuitive. She said that if they find endo embedded in my ovaries they won't mess with as it will just hurt outcomes. But it could be screwing up my tubes and keeping the egg from getting where it needs to go or just messing with my hormones generally.
The best news is it won't count against my IF benefits (yay!). I hope to get it done by early/mid July, so we can get on with our summer. I got an appt. to meet with the pelvic surgeon on the 22nd and then I'll know more. There would be two other surgeons and my RE, so this is the real deal. But she also mentioned that she wanted to poke the hysteroscope back in my ute while I was under to make sure everything looked good post-septum op (she did an HSG in April, but why not right?)
She also said that she didn't think that my IF is any longer "unexplained". She said between the probable endo, the septum, and mild ovulatory dysfunction, we think we know what we are dealing with now. She said I wouldn't need to be on Lupron after, so that was good. Hope to be back on meds by August and then if we aren't pg after a couple more rounds of injects, then it's on to IVF.
It feels good to have a plan. And now we wait some more... ;)
