FIRST OF ALL YOU NEED TO UNDERGO A LAPROSCOPIC SURGERY TO REMOVE THE ENDOMETRIOTIC CYST. AFTERT THAT YOU SHOULD CONCIEVE IMMEDIATELY. YOUR PREGNANCY IS THE ONLY FINAL TREATMENT FOR ENDOMETRIOSIS. IN MOST CASES OF GR IV ENDOMETRIOSIS WE SUGGEST IVF. CONSULT A GOOD FERTILITY SPECIALIST
Thank you for your query regarding endometriosis and difficulty in conception.
For the size of the ovarian cysts you have mentioned according to the guidelines it would be wise to go in for a Diagnostic laparoscopy for mapping of pelvic disease followed by a surgically planned bilateral ovarian cystectomy and ablation of visible deposits. Pre-operative planning would be needed to ensure that the ureters are safe as well as residual ovarian tissue is sufficient.
The maximum chance of fertility would be within first six months post the surgical procedure, so no postoperative hormones would be prescribed. If the subfertility persists, an IVF procedure could be considered.
Please discuss the options with your treating physician. Do let me know if there are any further queries.