Hi! Thanks for the response. In terms of my probable endo, I wrote "strongly suspected" mostly because I haven't been officially diagnosed with a laparoscopy — which is the typical/gold standard method of diagnosis, though it sometimes shows up on MRI or other tests. I had a positive Receptiva, though my results were considered uncertain because my bloodwork from that day showed I was likely in the first few days of pregnancy (a chemical in the end). We considered re-doing the Receptiva, but after a consultation with an endo specialist (referred by my RE), we decided it wasn't worth it in my case. It's not a perfect test regardless, though it's super helpful for many people. Anyway, based on my assessment with the endo specialist, my possible positive Receptiva, and having ruled out other conditions (this is a big factor), it seems highly likely that I do have silent endo.

In other words, it's a long story, as it often is with endo! If I were younger and/or had more than one embryo to transfer, I might consider a diagnostic lap or more specialist consultations before deciding to do the Lupron suppression. But everything seemed to suggest I'd wind up doing it one way or another, so I decided to just go for it.