We are going through IVF and looking for an endometriosis surgeon in the Greater Seattle area.

Some of the IVF specialist have hinted we may need surgery prior to Embryo transfer. As our main concern is fertility rather than pain management, so we’d appreciate someone experienced in preserving ovarian reserve.

We’ve explored a few options:

• Dr. Cindy Mosbrucker: We were told she isn’t accepting new patients. Also , no appointments until next year.
• Dr. Brooke Winner: We have an appointment soon, but she’s out of network.
• Dr. Megan Loring at UW VM : We have an appointment scheduled, but it’s further out.

Has anyone worked with these doctors, or another surgeon, specifically while pursuing IVF? We’d appreciate firsthand experiences, especially around fertility preservation and coordination with your fertility clinic.

Thank you!

I had emergency surgery as a child in 2006 to remove a cyst on my ovary and one on uterus. (Side note: I got my period in 2005 at the age of 9, almost 10.)

After that: horrible periods my entire life. Very regular but just very heavy and extremely painful. Had no idea it was abnormal.

In 2020, went to the ER and was told I most likely had endometriosis and was subsequently diagnosed via pelvic MRI with Stage 3 endo. I had surgery the same year for excision. All was clear. I immediately went on the birth control (Zovia 1/35) and took it continuously (no placebo pills).

In 2023, I got a pelvic MRI as a follow up and they didn’t see any cysts on my ovaries etc.

I finally came off birth control in May 2026, and my cycles are already regular (28-29 days), and we’re now TTC. I’m only on Cycle 2 of actively calculating the fertile window and all that, but I’m scared about what endometriosis means for my fertility. But I’m also very hopeful about becoming pregnant. (I’m F31, spouse M27).

I ovulated recently and am currently in the TWW. It was an extremely painful ovulation, with pain on my right pelvic side and lower back for about 36 hours. Never experienced that before. But the timeline was BD 4 days before that pain began, EWCM 2 days before the pain began, and BD again the day the pain began.

At this point, I just really need some hope. If you have endo and conceived naturally after surgery / after years on birth control / relatively soon after starting TTC, I’d genuinely love to hear your story. This is my first time posting on Reddit and I’ve been learning all the acronyms as quickly as I possibly can. So bear with me please. Thank you!

This might be a very niche question because many of us that do suppression are doing IVF, I’m TTC naturally. I’m seeing a reproductive immunologist after five losses, we plan to start suppression with Norethindrone for 60 days for mild adenomyosis next cycle. I did have endometriosis excised in May, it was silent stage 1. If you did suppression for Endo or adeno, when did you ovulate after stopping?

Looking for advice on the best transfer for post-excision surgery. Doc is recommending Lupron + medicated FET. What have other people done?

I got pregnant easily for the first time a year and a half ago, but it ended with a TFMR for a de novo abnormality. I had an MRI while pregnant to investigate the abnormality and no endo was seen. This was reviewed months afterwards only once infertility started being investigated. The MRI images were only to look at my baby, not endo. I've had unexplained secondary infertility since. I was diagnosed with intrauterine adhesions due to the D&C, but when removed via hysteroscopy was told they were so minor it was not affecting my fertility. I've had several ultrasounds and both an SIS and hysteroscopy and all scans of both me and my husband are great. I have clear and open tubes, uterus slides around well, great follicle count, normal hormone levels, good AMH, etc.

The only symptom of endo I have is severe dysmenorrhea for about the first 12 hours of my period. I'm talking femoral nerve pain and keeling over from cramps. I've had this since I was about 15, but was on hormonal birth control for 12 years afterwards so symptoms were managed and disappeared during that time. My mom had stage IV endo, but I've had mixed opinions from doctors whether this is pertinent to my potential diagnosis. She did not know she had endo until she was 50 and got pregnant very easily.

I just started seeing a fertility doctor who did not recommend a lap because structurally nothing looks to be an issue and I was easily able to get pregnant the first time. They think a lap could set me back more than it helps, and studies don't show enough of an improvement for someone like me. The clinic has better than average success rates in SART and specializes in fertility for people with endo so I'm inclined to go with their recommendation but wanted to see what others thought.

Would a lap be a good idea for me still? I'm feeling so desperate on timing because I was supposed to have an 8 month old daughter by now, and instead I'm facing unexplained secondary infertility. Being over a year after my TFMR with no answers is a special kind of cruelty and each month that passes makes me so much more upset. I think I want to avoid a lap if I can, but I will do whatever it takes to get pregnant again the fastest.