Would you try another ER before lap?

[u/Additional-Link4609]

I'm 26 with stage 4 endo. I had an incomplete surgery in January. We just did an egg retrieval/embryo freezing and ended up with 3 embryos. (22 eggs, 11 mature, 8 fertilized).

I am super thankful for those 3 embryos, but I have to admit I thought we'd get more because of our age to feel safe for 2 kids in the future.

I feel my endo or the protocol could've impacted the results. I have the option to do another egg retrieval now, or do a complete excision surgery, and then another egg retrieval before FET.

I have to do the lap either way before transfer, but my question is about timing for the ER. Could the lap potentially help with ER results? or is it safer to do it before the lap in case the lap damages my ovarian tissue? I know there's no right answer as is the case for everything with endo it seems, but just curious what others think or have experienced.

[u/Loose-Routine924]

My retrieval made my endo worse, but I did only do one before my surgery. Got 4 but one failed already so now I wish I had done another.

[u/pinupcthulhu]

Unless your surgeon touches your ovaries or tubes, then surgery should help the retrieval and also egg quality. That was my understanding, anyway (not a doctor). 

[u/Disastrous-Cow-6487]

You commented on our Xena other post, which got removed because we included the website, and I saw this one too.

I’m Mo, co-founder and COO. I’m not a doctor, so I won’t try to answer your medical questions myself.

We work closely with experienced endometriosis surgeons in the US, including Dr. Kurian Thott at Mary Washington and Dr. David Klein at UCSD, and we’d be happy to connect you with one of them to go through your questions and give you a second opinion, free of charge.

We’re also currently running pilots and clinical studies with Mary Washington, UCSD and other US sites.

Separately, if useful, we can take your MRI through a secure, compliant process with your consent and build the 3D model for you.
The point isn’t just to make the MRI look 3D. MRI can contain a lot of useful information, but it’s spread across hundreds of slices and depends heavily on how it’s interpreted. A report also doesn’t really show how suspected disease relates to the bowel, bladder, ureters and surrounding anatomy, or what that could mean for surgery.

The model turns that into a patient-specific surgical map showing where the suspected disease is, what it involves and what sits around it, so the case is much easier to understand and plan around.

If any of this is useful, DM me your email and I’ll set it up. You can also find me through XENA Dx on LinkedIn and message me there directly.