Trouble TTC

TTC with Endometriosis

A bit about my story:

I am 25 and have been ttc my first child for over a year now. At the 1 year mark, I went back to see my OBGYN and he did an ultrasound which showed high vascularity. He came to the conclusion of endo and I just had my laparoscopic surgery June 9th. I go in to see him for my post op appt on Saturday but he did tell me after surgery that I had stage 2 (some stage 3) endo. His MA told me he will probably want to do hormone therapy (Lupron) for 6 months, which after doing research on, I do not believe I want to go this route.

My question: how many of you are TTC with endo? Who has gone the Lupron route and who has chosen against it? If you chose against it, what (if anything) did you do after laparoscopic surgery to help conceive? I am more so into natural remedies and would ideally love to find a natural alternative if one exists.

Re: TTC with Endometriosis

  • Yes, my doctor did remove the endo. I am curious if women have successfully gotten pregnant after lap surgery alone. Also, I am interested to see if anyone with endo has used Maca Root and found it benefitial to their pain/symptoms and conceiving.
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  • ***c/p mentioned***


    I have endo. I was never told what stage. I had it removed in November, but it is back already to some degree. I say that because of the symptoms I have been having on CD 1 for the last at least two cycles...identical to what I had before the surgery and all symptoms of endo. Lupron was not offered to me. My RE said he wasn't concerned about it for 6-12 months after surgery. This is month 7 :(. I did get pregnant on my first IUI after my surgery, but it ended in a chemical pregnancy. It was actually the second cycle that we tried, but the first was cancelled because I over responded. We are moving to IVF now.

    Me: 30  DW (aka C): 29

    Together since 2/15/11 ~ Legally married in NY on 9/29/12

    ***CP mentioned***

    We've been working on baby #1 since July 2013 using Open ID donor sperm.  8 IUI attempts with 5 actual IUIs and one chemical pregnancy.  We have one fresh IVF cycle under our belts as well as a FET.  I have endometriosis and a uterine septum that was corrected via surgery in November 2013. 

    11/14/14 -  Second HSG shows that tubes are still clear and ute is looking good. 

    12/6/14 - Started BCPs in prep for IVF #2

    12/22/14 - Saline u/s and endometrial scratch (All was clear and OUCH!)

    1/2/15 - Began stimming for IVF #2

     ****All Welcome!****

    We are Mommas to four fur babies - 3 dogs and 1 cat.

    image   

  • AlaskaDee, no the being young commend did not offend me at all. I understand what you were referring to.

    I am seeing my OB as my insurance does not cover an RE. :-( I wish it did. However, my OB has made many advances in the endo world and has lead the DiVinci Robotic Surgery. (or something I like, I just read a bunch about his involvement earlier)

  • I have stage 3.  RE only has had me take lupron when I'm prepping for an IVF cycle, but he does want me on birth control when we are "on a break" to keep it from coming back.  I took maca for 3-4 months.  I didn't feel much of a difference with my cramps/endo (it was before my lap), but I did feel more energized, for what it's worth.


    Me 33, DH 37 -- TTC since Jan'12 -- Low AMH (0.78) & endo, SA w/ low motility
    IUI's 1-3 = BFN, IVF converted to IUI 4/13 = BFN
    IVF 1.2: 8R 6M 4F -- 2 blastocysts frozen, FET 8/15 = BFP!!
    Beta #s = 445;1,098; 9,545  -- EDD 5/2 -- Team Pink!
    Camila Josephine arrived 4/30 :)
  • ****SIGGY WARNING****





    I had stage 3 (almost stage 4) endo. I had a lap and had most of it removed, but there was places that they could not reach with the laser so I did 6 months of Lupron. I had very little trouble with the Lupron and to be honest, was glad I did it. I think the Lupron helps give you more time before regrowth rather than just a lap. I appreciated having more time before the endo became a problem again.

    I think whether to do the Lupron or not is a very personal decision. I did not have success with just the lap/Lupron but I also have ovulation issues. If you have any questions about Lupron please feel free to PM me.

    Good luck!

    **************SIGGY WARNING**************

    BLOG

    Me 32 :: DH 41

     TTC since November, 2011

    DH's SA : Excellent

    Lap and Hysteroscopy June 2012

    DX: PCOS, Stage III Endo, slight Adenomyosis, blocked tube, and probable LPD

    Treatments:  6 Months Lupron Depot injections; 1500 mg metformin; 3 cycles of Clomid + TI = BFN

    3 endometrial biopsies all were "out of phase" 

    September - December, 2013:  Break to lose weight and get healthy

    40 lb weight loss but still not ovulating "in phase"  

    February - March 2014: bcps + follistim + trigger + TI = BFP

     Beta #1 (12dpo): 30; Beta #2 (18dpo): 500; Beta #3 (25dpo): 7,000!!! 

    1st u/s 4/16: One beautiful hb at 144 bmp 

    2nd u/s 4/29: hb at 166 bmp.  Graduated from RE!!

    TEAM PINK! 

    Baby girl arrived on Thanksgiving day weighing 7lbs 6oz and measuring 20 inches

    image 

    Baby Birthday Ticker Ticker

    image


  • So the to the first part of your questions, we are TTC with endo. I found out I had it when I was 21. At that time I was not ready to have children so I did 6 months of Lupron injections.  It was an emotional roller coaster for me but I also had other factors going on. 

    I had another Lap this year January and the OB/GYN said try for 6 months and then we will send you to an RE. I researched a lot on what to do after surgery and most journals say that surgery improves fertility for a short time after but that Lupron does not add any benefit but as you know the research on Endo has so many conflicting information. 

    Me: 32  DH:34

    Married: 7.6.13

    TTC: 1 year

    DX- Me: Endometriosis diagnosed in 2002

    BBT: 12/2012

    7/2013 to 12/2013-TTC

    1/2014-Laparoscopy, dx Stage 3 Endometriosis

    1/2014 to 5/2014- Natural TTC

    5/2014- First appointment with RE

    6/2104- Femera + Ovidrel+ 1 follice 18mm +TI= BFN

    7/2014 - Femera + Follistim + Ovidrel + IUI = ???


    image

  • I have stage 2 endo. When I found out, H and I had just gotten married (read two weeks married) and we were not quite ready to TTC. My doc recommended Lupron, but I did not want to that route. He then recommended low hormone BCP. Fast forward a few months and I came off BCP. My doc said that I had 6 months to conceive before we tried other methods. I conceived but it ended in an ectopic. 

    Double check with your insurance and see what it is they do not cover. My insurance does not cover IVF, but it will cover some fertility stuff as long as I have a DX besides unexplained. I would talk to your insurance company, your doc, and your H. Were they able to get it all out? Are you charting your cycles? My doc recommended I start charting to make sure I was Oing, etc. I would recommend it for sure. ((Hugs)) hun and I hope you are able to find some answers. 
    Multiple TTCAL 1IF 3
    imageimage
    DX: stage 2 Endo 2012, PCOS 7/2/14,  HSG 6/11/14, Lefty open!!
    BFP#1, EDD: 4/27/14, Missed EP confirmed: 9/23/13, R tube removal: 9/25/13 
    Clomid/TI #1=BFN, 
    Clomid/TI#2=BFN, Clomid/TI #3=CP
    BFP #2 CP, EDD 7/12/15
    On a treatment break: 2 natural cycles. Saving money, sigh*

    Goodbye my sweet babies. We miss you so much
    All Welcome


  • I also have endo. I did a lot of research on this after my lap, and decided not to go the Lupron route. We decided to try naturally while we found an RE. After much discussion and thought we decided it was best to go straight to IVF based on the odds of success using other treatment options and the cost, as we are 100% OOP. In the meanwhile, I am doing acupuncture 3 times a month, and started the Endo diet. My insurance does not cover infertility AT ALL, but with a diagnosis of endo, they have been able to code all my testing/BW/ultra sounds/consults/appts with RE as a medical condition-endo. So I would maybe double check your insurance....it's a nightmare dealing with insurance companies, but will be well worth it for you to see a RE, especially with your diagnosis. Good luck! I hope you can get some answers soon.
    Me:30 DH:30 
    TTC since January 2013 
    Him: Excellent SA
    Me: 2 clear HSG's, perfect 28 day cycle with ovulation, all testing/blood work good
    1/23/14- **Surgery**
    Diagnosis: severe pelvic adhesions from stage 3/4 endo and old ruptured appendix
    RE Recommends IVF due to likely tubal damage
    IVF #1- November 2014 
                     Started stims 11/7. Antagonist Protocol
                     Trigger 11/17, HCG/Lupron
                     ER 11/19   27R/24m/14F
                     ET 11/24   1 little embie 
                     5 frosties!!! 
                     First ever BFP-  12/4 Beta #1: 35  12/8 Beta #2: 9  CP 

    FET #1- February 2015 



     

  • I am 27 and was diagnosed with endo at age 16 after having to go through 4 doctors and 2 laps. At age 16 I was also diagnosed with Prolactinoma. My husband and I have been TTC for the last 8 months and I am not regular (not ovulating normally at all), I am in pain. I am remembering all trouble I went through as a teenager. 
    I know I was  going to have trouble but I was trying to avoid another Lap. I see the Doctor on Monday, does anyone have any advice?  Has anyone had to have multiple Laps and did not do the Lupron treatment and have any success stories?


    Good Luck Ladies! 
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