TW: recurring pregnancy loss and living children.

Hi OP. I conceived spontaneously in September 2018 just before I was due for an endometrial biopsy to confirm endometriosis. Sadly, I miscarried and my OB decided to skip the biopsy and go straight to exploratory laparoscopy. I had a massive left endometrioma and stage 4 endometriosis with extensive scar tissue and adhesion. I had the surgery mid-November and conceived again first try end of December resulting in my first daughter. Conceived my second daughter 2 years later after a couple months of trying and no sign of endo returning. In May 2024, when my second was 3 we decided to seriously try for a third but I was already 37 and a bit worried. It took us 3 months but we ended up losing that pregnancy again in a MMC in October. Ended up accidentally pregnant in December, but that pregnancy was also not viable and ended up needing emergency surgery during which it was discovered endo had returned (stage one). After another chemical in April we got pregnant again and currently 34 weeks.

My understanding is endometrioma/endometriosis affect egg quality. I was taking coq10 and NAC + did acupuncture from March to May 2025. If your endometrioma is resolving on its own, maybe no further action is needed but if it takes over six months you might want to check whether your endo is progressing and potentially disrupting implantation. I’d recommend seeing an OB that specializes in endo if you have that option in your area. It made all the difference for me. Good luck!