missy,<br>I'm 36 and was diagnosed in 2000. My first consultant (gynaecologist who found the endo) advised me to take 3 months of Zoladex before going on any IVF cycle. This acts in the same way as Lupron - ie downregulates you so your endometriosis stops, and may even shrink (but will not make it disappear or cure it more's the pity!). Then, when I actually saw the consultant for the IVF, he is also a specialist in endo, and said that in my case, the endo was so severe that Zoladex would not have much of an effect, that I would be better having the endo removed surgically as much as possible (laparoscopy and vaginal drainage in the same procedure) and then to start the cycle immediately . When my endo was first diagnosed 3 yrs ago, I had zoladex for 6 months to try and calm it down, and although it was great being pain free, after about 4 weeks you are hit by enormous menopause symptoms (terrible hot flushes, night sweats, no libido, moodiness). When I went through the IVF, I had it in Liverpool and I found it very reassuring to have a fertility doctor who knew a lot about endometriosis, so if you can, try to find someone who is an expert in both areas, as you want the endo to be controlled, but without compromising your fertility. Good luck! Will know on Tuesday re scan, really hope it's one as I couldn't cope with 2!!!!
Me - severe endo, DH - poor sperm. First IVF ICSI Nov 02 neg. Second IVF/ICSI May 03 Positive.
Miracle baby Jay born on 27th January 04