What does the natural pregnancy treatment pathway typically look like after surgery (Advanced laproscopic excision surgery) for frozen pelvis stage 4 endometriosis ?
I’d be really interested in hearing from someone who actually went through this, because after stage 4 endo and a frozen pelvis I wouldn’t know how long to try naturally before considering other options. I’d be especially curious about what the first few months after excision looked like and whether anyone conceived naturally after surgery.
After my excision for frozen pelvis stage 4, my surgeon had me wait about 3 months before actively trying, just to let everything heal properly inside. Some doctors push trying naturally for 6 months to a year post surgery before considering IVF, depends a lot on how much damage there was to the tubes and ovaries. Mine didnt work out naturally within that window so we moved to IVF after, but I know a few people from support groups who did conceive naturally in that first year. Worth asking your surgeon for a realistic timeline based on what they actually saw during your surgery rather than a generic one
After advanced excision surgery, I’d imagine the next step depends a lot on how much disease was removed, whether the tubes and ovaries are functioning well, and your age. I’ve been through surgery myself, so I know recovery can take priority, but I’d be interested to know how others planned natural conception afterwards. Did you start trying after healing, track ovulation first, or move towards fertility treatment sooner?
I haven’t been through stage 4 endo or a frozen pelvis myself, so I wouldn’t want to pretend I know exactly what that recovery looks like. From my own experience, I learnt that it’s better not to rush the next step just because you’re eager to get back to normal. After surgery I’d want my surgeon and fertility doctor to look at how things have healed, the tubes, ovulation and overall fertility picture before deciding whether to try naturally or move towards treatment. The pathway can be very different from one person to another, especially after extensive excision.