Lupron for Fertility

[bny807]

Once Endo patients have a Lap and the lesions get "cleaned up" . What are your opinions on Lupron for 3-6 months post-op, in order to achieve pregnancy in a patient with mod-severe endometriosis?  From what i've ready I can't find any studies that say it increases conception rates, rather it may just make you asymptomatic during the treatment time.   Do you ever use Femara for fertility purposis in Endometriosis patients - even though its blacklabel for this, it seems that it would make good sense?  Thanks!

[Tweety07]

So far I had a total of 3 surgerys to remove Endom ovarian cyst.  I am currently taking Yasim BC and it seem that things are not better for me.  Is there aqny other medication I can take?

[bny807]

Thank you so much! I appreciate your time!

[John Kim, M.D.]

If you are planning to do IVF after surgery then I believe it is reasonable to be on Lupron before IVF treatment--but not for 6 months because it will delay fertility treatment. If you are not planning to do IVF, then immediate ovulation induction/IUI after surgery is probably better before the endometriosis returns. I think Femara is a great choice for ovulation induction for women with endometriosis. Of course, you should discuss this with your own infertility doctor.