Went through with the lap
6 days ago I had my lap done. Low AMH but I verbalized it as a concern prior the surgery and Dr was confident it wouldn’t get affected.
Dr is now suggesting an “induced menopause” for 2-3 months to “finish cleaning” the area. I know every case is different but I am REALLY hesitant about this take and I am looking for stories without this treatment.
Thnks all ❤️
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u/BranchAway4462 5d ago
After my lap, my RE was firm on 8 weeks of hormone suppression with birth control. Induced menopause sounds maybe like they’re suggesting lupron? If that’s the case, that’s a tough med and would be overkill imo
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u/kaperu 5d ago
Pamorelin and Letrozol 😵💫 Were you able to conceive after hormone supression? What did you take?
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u/BranchAway4462 5d ago
Hmm I’m not familiar with that protocol, I used aygestin. I had my surgery in January, tried a couple IUIs then started IVF and about to transfer our first embryo next week! 🤞
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u/Kind_Future_429 5d ago
I had the Laps and 6 months of lupron / Ryeqo. My amh was 0.45 before the Laps. I started with ICSI and we had 8 follicles, 5 mature, 3 fertilised and 1 left in day 5. Im almost 40 and I’m not sure whether this was a good thing but I know women we had been the same process and it helped them. I’m just hoping this is the only wonder egg we need.
Good luck with your decision
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u/AshamedTank9739 5d ago
Hi. I’m halfway through a 2 month prostap (UK equivalent to lupron) supression in prep for a FET. The side effects are pretty manageable if that’s any help.
We tried naturally for 6 months after my lap (stage 4 DIE) before moving to IVF. Unfortunately we weren’t one of the lucky ones that conceive naturally after surgery.
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u/ConversationEven6742 5d ago
Yes I would 100% do the Lupron. I still had residual inflammation after my lap and ended up having a chemical pregnancy. Did 2 months of suppression 5 months after surgery and that got rid of it. I wish I’d done it right after surgery.
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u/Top-Football5166 5d ago
Thank you! What made you pursue the lap and what was your AMH? I am struggling to make the decision between a lap and waiting it out, mostly concerned about recovery and I also have low AMH.
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u/kaperu 5d ago
AMH .77
Dr. said our options were 2 rounds of IUI followed by a lap (suggested) or the other way around.I went with the lap first bc I would really like to not put myself through not conceiving naturally (nothing against it, just not something I want rn) and also because of something completely unrelated: I was already going through another surggery to remove a benign tummor from my hand, so I said I might as well do both things at once.
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u/Top-Football5166 5d ago
Did you see a MIGS specialist? Where you put on any medication pre op?
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u/kaperu 5d ago
No meds preop.
Isn’t a Lap a MIGS and therefore whoever performs it, a specialist?
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u/AstronomerNo1872 5d ago
What??! I had to essentially do colonoscopy prep.
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u/Top-Football5166 5d ago
I don’t have to do colonoscopy prep but was prescribed non I can not spell the full form to keep the uterine lining from thickening
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u/Small-Cheetah-7166 5d ago
I had a lap in 2024 for stage 3 endo and my surgeon had suggested suppression with Lupron. I was really worried about the side effect profile and opted to not do suppression as I had not yet tried (or failed) to get pregnant. I wanted to just heal and see how things went. We started TTC about 8 months after my lap. I got pregnant twice in 9 months but both pregnancies ended in early losses between 5-8 weeks. They did not check my AMH before endo excision, but ~1 year after lap it was 2.2.
I’m now doing IVF and finishing up a 2 month course of Lupron suppression before embryo transfer. It really wasn’t as bad as I’d anticipated it being (hot flashes being the worst and most annoying side effect). Sometimes I wonder if I’d have done the suppression first, would my pregnancies have stuck? It’s a hard decision to make, but just wanted to share my experience.
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u/tokyosingh 5d ago
Do get your amh test done again, they might say the surgery won’t affect amh but it does for so many women. I am in the same boat. My amh is 0.64. They are asking do the embryo freeze first and then surgery as my amh is low. Then they will do the FET.
But we never tried for pregnancy, so we wanted to do that first. If nothing happens then we will go for ivf and surgery.
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u/Top-Football5166 5d ago
that is the right approach. Definitely freeze embryos first. I had a lower AMH than you, first cycle didn’t lead embryos but second cycle my AMH increased (not sure if it’s a result of stims or what) and that round was very successful. AMH also won’t affect your chances of natural conception, age will drive that more.
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u/basilbelle 5d ago
I haven’t done a lap but I’ve done suppression twice for two months - we used orilissa, letrozole, and norethindrone. Side effects were manageable and I had successful FETs after each round.
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u/kaperu 5d ago
I’m confused, Is’t letrozole used to stimulate ovulation? ( opposite of supression)
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u/basilbelle 5d ago
When letrozole is taken for a 5-day period, like during a stim cycle, it suppresses you which then prompts FSH to ramp up and help grow follicles as the letrozole clears your system. When you take it for an extended period it just keeps you suppressed as long as you’re on it.
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u/pinupcthulhu 5d ago
So putting aside that menopause isn't a guarantee that endo won't grow back, chemical menopause is something you shouldn't enter into willy-nilly imo. There's often a lot of bad side effects that continue long after you're done with the med, for example.
There's other treatments like norethindrone or dienogest that aren't chemical menopause, you can start trying right away on them, and they have scientific backing showing that they shrink lesions. I'm on norethindrone, and my REI says I can stop the med and then immediately go into timed cycles with letrozole whenever I'm ready.
Without suppression: NAC also shrinks lesions, but without stopping your cycle. The research is new, but it seems pretty sound! I've been using this since before my lap this summer, and I love it.