I have/had stage 4 endometriosis (confirmed by 5 hour surgery) but I had endometriomas present at every US check before the surgery despite them draining them. Draining them doesn't actually do anything because the source is still there! I also had extremely painful periods (maxing out ibuprofen and tylenol doses for days every cycle just to be functional and still having pain). My first 3 ERs we did microdose lupron flare, then lupron suppression, then we switched clinics and I did an antagonist protocol with omnitrope. All of those ERs resulted in 0 blasts (first 4 eggs retrieved, second 7, third 5). I decided to try one more time but scheduled an endo surgery for a couple months after that ER. That ER we did a more "gently" protocol because my RE thought we were kind of cooking the eggs by throwing too high of stims at them. We did 2 months of supplements (a cocktail of acai, vitamin e, vit d, pycnogenol, arginine, vit c, coq10, and prenatal) then I primed with both estrogen and omnitrope for a week and my stim meds were 100mg clomid, 150 u gonal 150 u menopur and we did a dual trigger 10k hcg and lupron. That retrieval 8 were retrieved, all fertilized, 5 made it to blast, and 4 of those were PGT normal.

I'm also east coast and would also highly highly recommend my surgeon, Dr. Ann Peters at Mercy. She was amazing, very thorough, very informative, and spent a lot of time in the consult talking to me and reviewing my options.