gosh this is a toughie! Sorry to hear about everything first of all.. i have severe endo.. no real symptoms except infertility and spotting, they found a 7cm endometrioma cyst on my ovary over a year ago.. the dr operated and removed that, along with most of that ovary -so that side doesn't work anymore :( anyhow, she said that i was the worst case she had ever seen! UGH! not something you want to hear! i was pretty devastated, since we had already been trying for a family for over a year.. she wanted me to go on lupron as well.. i did a TON of research, and she really pushed the drug.. however it is a personal choice.. i have heard good stories, where people get pregnant shortly after, and others where it doesn't' make a difference...When it came down to it i declined the lupron, and instead rushed to a fertility doctor.. He said that if pain is an issue, then lupron can help with the pain, however its debatable if it helps improve fertility.. In my mind i thought it would just delay what we have already been trying for for so long, so we just did fertility treatments.. which have been successful! My surgeon didn't even "burn" off or remove any endometriosis since it was just everywhere she said.. and we have still had luck getting pregnant.. One thing i did (who knows if it helps or not!) is a wheat free, or decreased wheat diet.. they are thinking that wheat might cause some immune reaction with endo, making it more inflammed and worse.. GOOD LUCK! let me know if you have any questions!