I m 32yrs now, ttc for last 5 yrs. Had endometrioma removed 5 yrs back from oNe ovary which didnot reoccur. After that tried ivf 7 times, with all negative beta. Once conceived naturally misCarried at 2 months.
amh is 3.2
Fsh 5
Afc is also good
trtried intralipids also.
also clexane.
now doctor suggests donor egg...
what do uthink doc regarding endometriodis effecting egg's ability to implant? Or shud we testendometrial receptivity(ERA)?

I m from india

Hello Ria from India,

I do not think that your endometriosis is the cause of your IVF failures.  IVF is the treatment of choice for stage IV (advanced) endometriosis because it bypasses the pelvis.  Without a thorough review of your cycles/medical records, I cannot tell you why you've failed so many times, but maybe you should try a different center? Failing that many times is very unusual at your age, so I can only attribute the failures to something with the clinic you are using.

Good Luck,

Dr. Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program

Monterey, California, U.S.A.

for additional information check out my blog at check me out on twitter with me at @montereybayivf and facebook @montereybayivf.  I now provide personalized fee for service consultations/advice/direction via email and payable via Pay Pal.  If interested, contact me via my email at  This service will allow you to have your own personal on-demand infertility expert


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Edward Joseph Ramirez, MD, FACOG


I am a specialist in infertility and advanced gynecological care. I can answer questions about infertility, gynecology related ills, menopause...virtually anything that affects women's health. PLEASE tell me where you are writing from as I am always interested.


I have been practicing as an Ob/Gyn and Infertility Specialist for over 23 years. Gynecology, advanced laparoscopic surgery, basic infertility, IUI's, IVF, reproductive surgery, and ovulation induction are all areas of my expertise. I am Board Certified. I have been doing In Vitro Fertilization in my clinic for 19 years.

American College of OB/GYN, American Board of Obstetrics and Gynecology, American Society of Reproductive Medicine, California Medical Association, American Association of Gynecologic Laparoscopists, Fellow of The American College of Obstetricians & Gynecologists

American Journal of Obstetrics and Gynecology, Wall Street Journal, Monterey Herald, SERMO, Women's Health and Fertility Blog

Medical Degree from Stanford University, Residency at Tripler Army Medical Center, Reproductive Training at Pacific Fertility Center, San Francisco

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