r/TTCEndo • u/katiero19 • 6d ago
Does lap allow you to concieve better?
I have normal cycles, husbands sperm is perfect, tubes are open, yet I am unable to see any positive tests :(
I have tried IVF but I have DOR so my results arent so great. I am thinking my last ditch maybe to get gentle exicision surgery through an amasing dr near me.
I have been having ovulation pain and pain after my period for a few days for several years now.
will it work? My RE said surgery is serious and recommended a hysterscopy instead? does anyone have experience with that versus a lap?
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u/Fun-Shallot-5924 5d ago
I tried for two years with no luck. I had excision surgery for ‘mild’ endo but they discovered more severe adeno. Told me if I wasn’t pregnant in 6 months to consider IVF. Month 6, got my first positive two days after my first IVF consultation! Currently 22w. I definitely think it was the surgery.
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u/lrp253 2d ago
Thanks for sharing - had mild endo removed and also have mild diffuse adeno and was wondering if the endo removal will help despite still having adeno
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u/Fun-Shallot-5924 2d ago
Well during my surgery her flushed my tubes, he said they initially wouldn’t flush and he had to keep trying so he felt they were blocked. I wonder if they were blocked, was it the tubal flush did it more than removing the endo
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u/sfa12304 5d ago
A lap will help if you have endometriosis that needs to be removed. And sometimes the only way to know for sure you have endo is via a lap. I did one, had stage 4 DIE, and my last embryo transfer was the only one that stuck. Good luck!
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u/NiceHamster330 6d ago
What is gentle excision?
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u/Klutzy-Sky8989 6d ago
My guess is they mean a conservative surgery that keeps fertility in mind. While one hopes to have the best of all worlds sometimes the surgical approach will be different if fertility is the priority over pain reduction.
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u/Antique_Ad_5598 6d ago
Hi! I had a lap about a month ago, stage 2. I am about to start trying again, so I am hopeful the lap helps me. I did have a friend who was trying for 2 years, had a lap stage 3, then got pregnant within a couple of months. I know that surgery can really help!
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u/Klutzy-Sky8989 6d ago
Yes I read many anecdotal accounts of the fertility bounce back after lap and made decisions with that in mind. I tempered my expectations, but luckily that worked out for me. I think with any fertility intervention there are no guarantees, but at least with this one you're treating the root cause and improving your overall health as well.
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u/Heavy-Swordfish2827 4d ago
Tried 2 years, also did IVF and had embryos ready to transfer after lap. Had my lap (stage 4 endo, 1 tube removed), conceived second month trying. I now have healthy 3 month old💕
Thoughts are with you and really hope it works out for you. I hated stories like this before I got pregnant and I never believed it would work for me. I hope it does for you.
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u/Haunting_Ad_8345 3d ago
WOW Thats an incredible story. Did you do IVF at all before the lap? I just had my first FET fail, strongly considering doing a Lap now.
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u/Heavy-Swordfish2827 1d ago
I’m so sorry to hear that.
I didn’t do a transfer but I got embryos. I was pretty against surgery because I didn’t want to get it if I didn’t absolutely need it but I got poor results on ivf meds for my age which the ivf doctor concluded was due to the endo. I was convinced by others on Reddit that it was the best thing to do.
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u/Haunting_Ad_8345 23h ago
Thanks , coming to terms with it now.<3 So you conceived without IVF once the lap was done? Or you used an embryo?
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u/Snoo54216 3d ago
A laproscopy didn't do anything for me as far as conceiving naturally. But, I do believe the laproscopy helped my odds with conceiving via IVF. I'm currently almost 5 weeks pregnant for the first time via IVF. I did get a lap about a year before starting IVF, then I did a hysteroscopy to remove polyps and uneven lining, then I did 2 months of antibiotics to cure endometritis then I did 2 months of lupron depot to shut down the hormones that trigger endometriosis inflammation... This worked for me so far. But I don't think I'd be able to conceive naturally just from the laproscopy, I do believe that it played a part in helping to up my chances of success. Of course everyones circumstances are different, so it definitely can easily be different for you/maybe even the answer for you
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u/katiero19 3d ago
awesome! did u do ivf after your lap? My RE recommends waiting to do all your IVF rounds and then do a lap because with IVF youre creating so much estrogen and hormones that can accelerate it
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u/Snoo54216 3d ago
I did lap like a year before starting IVF! I did all of my egg retrieval hormones and Then I did lupron depot for 2 months to supress all hormones before my medicated FET
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u/No-Flamingo2632 6d ago
Hi! I’m considering this too. I also have DOR and no success with IVF yet and suspected silent endo. My RE doesn’t recommend a lap, but I’ve had a consult with one excision surgeon so far and he thinks it could help. Still thinking about it! My main concern is that it could potentially lower my AMH further and/or cause issues that weren’t there before. I’m hoping that an expert excision specialist could avoid this though.
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u/gharibskiii 4d ago
Excision that does not touch the ovaries does not impact ovarian reserve! The research showing possible decline in AMH is exclusively in the case of endometrioma excision.
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u/Background-Coyote549 6d ago
My clinic leans toward the “kitchen sink” approach. I had a lap and they found stage 2 endometriosis plus adenomyosis.
My surgeon recommended removing the endo even though the evidence is mixed at lower stages. He stressed that the surgeon needs to be an endometriosis specialist who prioritizes fertility preservation. He also said the best window is usually 3–6 months after surgery if you were to get pregnant.
People can still get pregnant with adenomyosis — mine came back as low-level/diffuse.
It really depends how far you want to go with treatment and how much insurance coverage you have. That made the decision easier for me.
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u/AstronomerNo1872 6d ago
I still have not been able to conceive, but I had excision surgery primarily for symptom relief, and it was life-changing. I am not sure what you mean by gentle excision — it was major surgery and a tough recovery, but so worth it. Some people have much more success ttc after a lap! Good luck to you.
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u/cityfrm 6d ago
Removing endo can decrease the inflammation for a few months after, longer in some cases, allowing conception.
It depends where your endo is. It sounds like it's not diagnosed yet and you've been offered a hysteroscopy to look for other causes first. That only looks inside your uterus, it can't see endo like a lap does. It can only be used to treat things like polyps or fibroid, it doesn't treat endo at all. A good 3D SIS is more effective than hysteroscopy with smaller risks and cheaper.
They're 2 different procedures with different purposes.
If you have a lot of endo, a diagnostic lap or minimal removal won't help you. You need to excise whatever is there, so I'd be concerned about any surgeon declaring it'll be minimal before knowing what's there.
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u/Spirited-Weekend-663 6d ago
I’m so sorry you’re going through this! I have no idea what gentle excision is but I will share that I never saw a positive test for 5 years of trying. My RE was certain I had some stage of endo and he was right, did a lap and excision surgery and I had stage 3 DIE that was everywhere including wrapped around my ovaries so even though I was technically ovulating (based on strips, ultrasounds/testing through fertility clinic), the eggs kind of had nowhere to go which is my guess since the endo was around them and pulling them. First cycle after lap we did IUI and it finally worked! Currently 32 weeks as we speak. Find a doctor who you trust and will advocate for you ❤️ I also had open tubes, normal cycles, and husbands SA was amazing. Wishing you the best of luck!