Our expert says:
In many cases of endometriosis, despite the fact that some form of corrective surgery has been undertaken, the problem may still persist within the deep tissues of the pelvis. These so-called occult lesions may continue producing toxins, which are harmful to fertilisation and conception.
Hence in cases of failed IUI's the next step would be to proceed to IVF to ensure that fertilisation occurs under a controlled laboratory environment. Alternately you can opt for aggressive endometriosis suppressive therapy, which unfortunately is extremely expensive and would still require further treatment thereafter.
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