So, this is kind of a cross post from the Dealing With Infertility Board, but I feel I am more mentally prepared to get back onto birth boards for a bit and thought I would go ahead and come out of hiding. By way of an update:
After 11 months of trying and no success, I underwent a laparoscopic surgery on January 6 to take a look at my insides. All my previous tests have come back glowing and I ovulate like clockwork, so I really was running out of reasons why we weren't PG yet. I have never had any signs/symptoms of endometriosis other than some really bad cramps, but my mother has it so my RE thought it would be important to rule it out. As it turns out, I have stage III endo (moderate).
I had my post operative appointment last Thursday and discussed the findings with my RE and also got a copy of my operative report. Basically, the left ovary and "cul de sac" area (I had to google that one!) were what was impacted. The left ovary had aherred to the pelvic wall and was covered in "filmy adhesions." The right side was basically clear and nothing had to be done. My RE removed it from the left side and was able to free the ovary from the wall. Post op now 2+ weeks I am basically back to normal and feeling great--though I really never had any endo symptoms either beyond infertility.
We discussed with the RE "the next steps." He actually suggested we try on our own the next 2-3 months (well, 1-2 if you count this month) because he was able to clear the area so well. Stated if we don't get the BFP by March or so we should try 2-3 IUI's with COH (but no injectibles, which will keep the cost way down.). If this fails, then we go to IVF.
I asked if he really felt this was the best plan due to everything I have read about Stage 3 endo and IUI. He said yes--he really feels that freeing up the ovary and being able to clear the endo out will significantly help us. Even if we try 3 IUI's it will only cost us around $1100 (we are OOP) so it's hard not to at least try. Of course I am impatient, want a baby now, and think IVF is probably our best shot, but I am trying to take the advice of a doctor who's only goal is getting me knocked up! So, that's where we are. I'm going to be very cautiously optimistic moving forward.
So, we're back on the trying to make a baby train, and I have some peace of mind now at least knowing *why* it's been so hard! Just wanted to say hi to all!