I had 3 IVF transfers last year, back to back, and they all failed. At the time I was told my embryos looked good and they were happy with them. After the 3rd attempt, the FS told me she wouldn't do any more until we'd done a laparoscopy (she suspects I have endo, but I didn't want to do the lap before starting IVF), which I agreed seemed like a good idea.
We took a 3 month break after the last IVF attempt, then I went and saw the FS again. She told me my embryos hadn't looked good at all, they hadn't developed they way they should have by day 5 (this was news to me, if I had known they weren't developing the way they should have, I may not have gone ahead with the transfer.) She said we should do the laparoscopy and gave me all the info. She told me I may not even need IVF after doing the lap, and she's had clients who have gotten pregnant naturally within a few months of doing the surgery.
Before deciding to go ahead with the lap, we did the karyotype blood test on me and hubby, and also FISH and SCSA on hubby. When all these came back normal, I talked to the FS again about doing the laparocopy.
Then it was suddenly a different story. Now she tells me we can do the lap, OR we can just do another round of IVF, because my last batch of embryos may just have been a bad batch, and if we do it again we may get better embryos. She also said there is conflicting evidence around the benefit of doing surgery for endo before doing IVF - apparently some studies report no increase in pregnancy rate after doing surgery.
She said if we do IVF again, we should put me on melatonin, but when I google this it comes up as an alternative treatment.
So yeah, first she tells me we have to do the lap, now she tells me the lap is pointless. I don't know what to do or think, not feeling confident about doing either treatment (lap or IVF). I think there is a conflict of interest for the fertility groups too. If they get people pregnant, there's no more money in it for them, so I'm not confident they wouldn't just string us along for as long as possible before doing stuff that actually works. But obviously we can't afford to keep doing this forever (we don't have private cover).
Also weird that she tells me surgery for endo is pointless, when I thought the general consensus was that surgery improves chances of getting pregnant. I also found an endo support site that says surgery or medication for endo before doing IVF improves pregnancy rates.
So I don't know what to do. Any thoughts on what the FS has said? Anyone have any info on the lap for endo being effective or not? Anyone tried melatonin?
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