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Posted by on May 13, 19100 at 17:40:21:

In Reply to: DR. PLEASE ANSWER RE LAPOROSCOPY posted by Dorrie on May 12, 19100 at 15:48:00:

: I am undergoing secondary infertiltiy. I went 5 cycles of clomid with IUI & 2 cycles of Repronex with IUI, and I am not pregnant. My RE suggested IVF. He said he would do a lap if I wanted, but he recommends IVF. I want to know why I am not getting pregnant. Is it prudent for me to do a lap? If he doesn't perceive endometriosis or blockage, is it a waste of time? Do women who undergo a lap do so because they have some sort of symptoms that steer the DR to do this proceedure? Is the proceedure painful? Do I need to take off from work?

There are many factors that determine if patient should undergo a laparoscopy for infertility treatment. Most important are your age and random day 3 (ovarian reserve/ FSH) levels. A lap helps determine if there is endometriosis. It may also detect subtle adhesions that may not be seen or noted with a HSG. Is it absolutely necessary? It depends on the patient and her prior history. It does take at least a few days to recover from the procedure. Good luck. Be sure to rediscuss this with your RE fully until you feel comfortable with what you decide.

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