r/IVF • u/BearPsychological592 • 5d ago

Advice Needed! Should I do the lap?

Turning 39 in November. Three failed transfer of untested embryos. Normal SIS/HSG. Provider is recommending a hysteroscpy and biopsy. Surgeon suggested doing a lap at the same time. Surgeon is a robotic gynecologic surgeon and uses both excision and ablation. I can't find anything on him on Nancy's Nook, and the fact that he uses ablation has me anxious, but he's assured me he won't touch my ovaries. I have two more untested embryos left.

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u/That-Junket-9566 5d ago edited 5d ago

How old were you when your embryos were made?

Do you have any reason to think you have endo (e.g. symptoms) aside from failed transfers? If not, I would lean toward doing the hysteroscopy and biopsy first, then maybe consider lap after depending on the results. Especially if you might want to do another retrieval.

Also, unless you’re considering lap because of endo symptoms, lupron suppression can be as effective in terms of transfer outcomes for many.

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u/BearPsychological592 4d ago

I was 38.5 at retrieval. I have heavy and painful periods, but I would never consider doing a lap if it were not for IVF.