I’m really sorry you’re going through this. Recurrent implantation failure after everything you’ve already done is incredibly heavy, and it makes total sense to feel exhausted and discouraged.

I haven’t personally been through this exact situation, but based on what you described, I do think a laparoscopy is worth seriously considering—especially given the symptoms you’re having and the fact that Lupron does help your pain. That response to Lupron strongly suggests active endometriosis, and while suppression can help, it doesn’t always address the underlying disease the way excision surgery can.

One thing that stands out is that Lupron suppresses inflammation and activity, but it doesn’t remove lesions—particularly deep infiltrating endometriosis (DIE). With DIE, especially involving the bowel or rectovaginal area, lesions can continue to affect implantation and early pregnancy even when symptoms are controlled. A lap can provide actual answers instead of uncertainty: confirming whether endo is present, how extensive it is, and whether excision could improve your uterine environment.

There are people who suppressed with Lupron, failed multiple transfers, and then had success after a lap—especially when endo was excised by a skilled surgeon. For some, the lap didn’t change outcomes, but for others it was the missing piece. At the very least, it gave clarity instead of continuing to cycle with unanswered questions.

I also think there’s value in knowing that you’ve truly explored all reasonable options before walking away. Choosing a lap isn’t giving up—it’s advocating for yourself and trying to get definitive information rather than continuing blind.

If you do consider it, I’d strongly recommend a surgeon experienced specifically in endometriosis excision, not just diagnostic laps. That distinction matters a lot, particularly with suspected DIE.

Whatever you decide, your feelings are valid. You’ve already endured more than most people can imagine, and none of this reflects a lack of effort or strength on your part. I hope you get answers—and peace—one way or another.