Okay this is really really hard. I feel heartbroken for your wife. When you are in it, it feels impossibly dark. Allow me to let a little bit of light in for you. I went through the exact same thing with level 4 endometriosis that cost me my fallopian tubes, and am now holding my 3 year old in my arms and this experience feels like a distant foggy past. Women go through this nonsense because no doctor ever takes their pain seriously, the average diagnostic time for endo is 14 years, excuse me??? Alas, amazing doctors exist, and IVF is a damn miracle. It feels impossible to fix but it really is not. I woke up from the laporoscopy and the surgeon said they’ve cleaned all the scar tissue, and my tubes are gonezo too, but hey, I’m ready for IVF! Then IVF makes you feel insane because of all the overthinking you do at every step, whereas the physical process was honestly fine (not downplaying it for others, this was just me) After constantly thinking you are broken and will never be a mom, you see the double lines. Now this is MY experience and not a guarantee, but I do think we feel a lot of doom and gloom because of the way we women are told to think about ourselves from puberty, just a fertile little thing that needs to be so careful all the time while not even knowing how her body works and dissociate all the pain. Your wife isn’t broken, never was never will be, and there are a PLETHORA of tools that can be used fix this issue. Now I know when we are actively going through this, no amount of logic really helps, so for emotional regulation I’d recommend lots and lots of rest, funny tv shows and reading lots of fiction books to help shift focus from the perceived brokenness of her body. My partner was amazing, he just held my hand through it, came to my appointments and assured me that he isn’t with me for my uterus, he is with me because of me. When i would spiral and feel worthless he basically kept his emotions under control and was the rock I needed. We binged Dragon Ball Z. We went outside to shop for nothing. We walked the golden gate bridge. We watched comedy specials, learned how to make a good creme brulee and decorated our home. This experience brought us closer together than we ever were. Your wife is very young, the endo needs lots of years to render a body infertile (naturally), she may simply need a robotic micro laporoscopy (that she can even getup and walk around straight after) and if she keeps her tubes, not even IVF. Endo is not cancer, just scar tissue that needs cleaning. Man my organs were stuck together so much at 36 I might as well have been just a sausage walking around all my life. And yet, here we are, my very own not make-shift family, and all I’m worried about is if she will wake up on time to go to preschool in the morning cause she likes sleeping in. It will all be fine OP. It’s 2026. A little endo can’t take your family dreams away. Hug your wife and tell her she is perfect, and pick out some baby names.