Our expert says:
Unfortunately you are faced with a very difficult type of endometriosis and advanced stage as well. Thus far it appears that you have been adequately managed in terms of both surgical and medical options. In terms of your fertility IVF would be certainly an option to consider but the success rate may well be below the average due to the anatomical as well as hormonal impacts that the endometriosis may have had. In the long term the endometriosis will eventually burn itself out and will not trouble you any further but there is no guarantee that your symptoms will significantly improve. Should your symptoms be extremely bad then the final solution would be a total hysterectomy and oophorectomy (removal of the ovaries).
Answered by: Dr M.I. Cassim
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