What shall I do? Feel like I've no options or chance left.

[Sleepswithbutterflies]

I have a naturally and easily conceived ds - he's now just 5. I had an emergency c section with him.

About 2 years after having him we started ttc again but I had a gut feeling something was wrong and we had tests after 3 months which showed dh had very low motility and morphology and we were told icsi was our only hope.

We've now had 2 icsi cycles which have failed. The embryos were day 3 and ok but none of the others made it to blastocyst.
Have had a follow up with the consultant today who said with the embryos we had put back we had about a 35% chance of success. Therefore he's now recommending that I go for a laparoscopy to check for scar tissue from the c section which is stopping implantation.

My feeling is that seeing I have no symptoms of endometriosis the reason the ivf has failed is due to embryo quality.

We were planning to look at using donor embryos but if the problem is with implantation that won't help.
However the laparoscopy costs £4k and we've already spent £10k on failed treatments and it doesn't sound a lot of fun.

I don't know whether to put myself through it or not.

Would you
A) give it up as a bad job and accept you were only meant to have one chilf?
B) go for the laparoscopy (consultant said if something is found and treated then it massively improves chances but I'm still not sure it's likely to be our issue given dh's problems)
C) attempt donor embryo treatment without the laparoscopy
D) go mad and lose the will to live

Right now I'm thinking d. How can someone go from a first month natural conception to being hopelessly infertile? I'm 31 btw.

Answers on the back of a postcard.
I'm so fed up. Bloody duchess of Cambridge. Bloody sister in law announcing her second pregnancy yesterday - her first dc is only 1. Apparently everyone I know is super fertile.

I am sorry you are going through this, its shit! If it were me I would go for option A or B. My reasoning for B would be that you and your DH managed to conceive one child so his issues don't completely rule out natural conception. Logic seems to suggest that something has changed in the meantime, so checking you do not have issues as a result of the C section seems a good place to start. It all depends on how this will affect you financially or mentally though. There is a time for just trying to focus on being happy with what you have. Good luck with whatever you decide!

Adhesions from surgeries and adhesions from Endometriosis are two totally different things. Additionally you could have the most severe case of Endo and feel nothing whatsoever or have the littlest bit and have the most massive pain of your life.
Adhesions from C-Sections are quite common, esp in younger women (according to many doctors I have seen). My cousin for example has had a section and as a result has adhesions, polyps and more and has been advised that without surgery her chances of conceiving again are next to zero.
If I were in your shoes I would go for the laproscopy and see what is going on in there and my best advice is to have it done by a specialized place for women and not a general surgeon. Years ago I had adhesions removed by a general surgeon after a botched appendix removal and each and every time they assured me a gynae would be there for my surgeries, obviously there wasn't because at my most recent surgery done by a gynae they found not only did I have adhesions from surgery, but endometriosis and some pretty thin fallopian tubes.

There are ways to improve sperm as well as there are further tests to see why the sperm is affected.

I would not throw in the towel just yet! :)

Thank you.
I'm not really expecting to get pregnant naturally but the consultant said the adhesions might stop the embryo implanting even if we have further fertility treatment. Even if we use donor embryos if we have problems with implantation that obviously won't help.

The consultant advised me to go to gp and get a private referral back to him through gynaecology and not the tell medical insurance people it's anything to do with infertility and then the insurance should cover it. Does that sound a bit dodgy?

I would go for B because if you don't you may always regret it. Plus if you do C and it isn't successful then you will always wonder why if it was because you didn't do the laparoscopy.
Good luck x