Go Big or Go Home, Right?

So Friday was my follow up with my RE, it was finally time to make a plan. I was so excited, there was literally nothing she could have told me that would have made me sad because I knew we were finally moving forward.

So here's the lowdown: My egg reserve is good, we have no male factor but I still have all the fun hormone/ovulation issues that come with PCOS. My tubes are clear but I do have my concerning buddy Cysty McCysterson growing slowly but surely, fusing my ovaries behind my uterus looking like he might be Endometriosis (ontop of my PCOS).

My doctor ultimately had two roads we could go down:

1. Keep doing Letrozole with close monitoring in case of another ectopic (we've already done 4 rounds)

2. Get laparoscopic surgery to remove Cysty and check if it is endo/if there's endo around my tubes which would have caused the Ectopic

I was immediately overwhelmed. Not because she suggested surgery, but because she was making it my choice. I didn't want to go through another ectopic and was just doing more letrozole a lot of the same? I'm just so tired and frustrated I wanted to do the more drastic option. But was the weird of me to want to go immediately to the surgical option? My doctor explained that if I was in pain or if I had had 2 ectopics then it wouldn't be a question but at this stage it was an option.

Following my gut, I told her I was ready for the surgery, I wanted to get that big cyst out of me because I just know it's causing trouble. I then pointed out to her that I've known about it since 2017 and it's been slowly growing ever since which made her go "ok you've been monitoring that for 3 years it should come out. Anyways a cyst that big would be painful in pregnancy." So it sounded like she thought I made the right decision too, but why didn't she just come out and say that in the first place? Like I wish she had just said "You would benefit from surgery." Then I wouldn't have felt so anxious about making the call.

So now I'm just waiting for a surgery date, which I should be getting this week. After I have it we'll have so much more information about what's going on in there. We are then going to try letrozole again because technically it worked before so let's hope everything goes to plan.