OP here. Thanks everyone for your suggestions. Should I do the laparoscopy before or after the next egg retrieval? Did you do everything at CCRM/Cornell or did you monitor locally at SGF and only travel to CO/NY for the procedure?

Avoid JHU Fertility at all costs. They are the worst!

Have you considered laparoscopic surgery for endometriosis? Many OBs/fertility clinics poo poo this option because they want to go directly to ART, but if that is not working for you, worth considering. You would need to find a place that truly specializes in endometriosis/unexplained infertility. Check out Center for Endometriosis in Atlanta GA. Many success stories coming out of there. Years ago, I had booked my surgery date with them when I found out I got pregnant naturally. As I recall, they said they would basically look through your entire reproductive system, flush your tubes, clear anything that may cause adhesions, etc. From my experience, if you and husband had the whole fertility workup and everything is fine and you are ovulating (confirmed via ultrasound scans, this is important), it is most likely endometriosis.

Dr Davis at Cornell is great. Sending you good wishes - you have been through a lot.

Cornell

I am so sorry for what you are going through, you have been through the ringer. I always hear that CCRM, specifically the Lone Tree location, is one of the best for difficult cases. I would also look up Dr Aimee in California who seems to be really involved in her patients care.

We’ve done 3 rounds clomid, 3 IUI and 9 IVF transfer cycles, fresh and frozen, modified natural and medicated, with and without immunology protocols. Two ended in early miscarriage and the rest didn’t implant. Complete unexplained case, though I suspect pcos/endo, despite the tests are all negative. In our case, which clinic should I switch to? CCRM? Cornell? UPenn?