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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]OP, I don't know what your insurance or financial situation is, but if this cycle doesn't work out, I'd recommend a consult with Cornell. They, like GW, only have doctors do the monitoring. In fact, they get a bit touchy if you do local monitoring in DC too far into a stim cycle as they prefer to do it themselves - and the blood draws - in order to make changes to protocol. They've tweaked DW's stims very specifically (she's done 4 cycles there) in the past, and they do the same with the trigger.

As for your endo, having a cyst on your ovary could very well affect the quality of the eggs your produce. This was Dr. Braverman's theory when my wife started working with him for immune issues (while continuing IVF with Cornell), and she subsequently got a lap under his advisement. They found endo on ovaries, and a few other places as well. The thing is, they often can't tell how extensive endo is until they get in there, take a look, and, in many cases, excise it. Whether it was the laparoscopy, the immune meds, or just luck, DW did get pregnant after all of that is now about 30 weeks.

FWIW, we left SG because DW was a more difficult case and we got kind of tired of doing so much advocating for ourselves. It became exhausting, and quite honestly working with Dr. Davis at Cornell was a breath of fresh air after that.[/quote]

OP here - thanks so much for this. I've been told my several REs as well as a regular gynecologist that removing the cysts would cause endo particles not visible to naked eye to spread all around uterus and ovaries and cause growth of new endo. Apparently endo and its particles are "alive". If you are grossed out by this picture believe me I was too. It sound like something from a Frankenstein movie. Another reason why all these people were opposed to me having lap is that that would remove any nascent antral follicles from the ovary, since the cyst is kind of embedded within the ovary. Another point that they all made is that the cyst would probably shrink during pregnancy, however that endo would come back with vengeance after pregnancy. So, who knows. I am definitely open to immune meds and I am planning to explore this option too. I am also trying to get an appointment with a gynecologist who specializes in endo to get a different opinion about laproscopy. I feel that no matter what I do endo is there as a factor to worry about. So far, SGF has not made any comments about the cyst being problematic and after trying to talk to them several times about it they kind of dismissed it. Not sure what to think about that.[/quote]

OP - were you the one who posted about the endometriosis a few days ago? Yes, it will shrink once you get pregnant and will disappear completely as well. I had an endometrioma when I started the process and it went away. In fact, I am going through another cycle now with another endometrioma. [/quote]

Thanks, yes it was me. So, you opted for no laparoscopy also? Did it affect your pregnancy outcome (pre-term labor, preclampsia, etc.?) What are they telling you in terms of egg quality and an active endometrioma being there? Are you doing any immune protocols? Endometriosis is so elusive and there are two different schools of thought (pro and against laproscopy). [/quote]

As I said in the other thread, I did do a laparoscopy to remove 4 endometriomas from one ovary. It wasn't so much for fertility reason as it was for pain. A few months later, I started the IVF cycle and I had another endometrioma that grew on the same left ovary. It didn't affect my pregnancy outcome. Everything was fine. My RE wasn't concerned about the quality but the number of eggs. I had 18 eggs retrieved in total.  [/quote]

What a great outcome! It's comforting to know that one can get pregnant and give birth despite endometriomas.[/quote]

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