So I’ve had the follow up with both my OB/surgeon and my RE now and the results are all in.
The OB removed my left tube due to severe endometriosis damage. He said it was only large enough for the sperm to get through, but physically impossible for a fertilized egg to make it back out. So he removed it for my health and fertility. The tube was also positive for a pregnancy, so I did have an ectopic.
Right ovarian cyst was related to the pregnancy hormones. Labwork came back benign. He drained and removed the cyst and I got to keep my ovary intact!
The rest of the lap showed that I had some pretty severe scarring on my left side from endometriosis activity, but that my right side is completely healthy looking. No currently active endometriosis was visible in my abdomen. He said there may be some, but I was too swollen for it to be clearly visible and it would be minimal in that case.
Miscarriage bloodwork showed I have homozygous MTHFR A1298C. This is a fancy way of saying I have a clotting disorder in my DNA that I got from both parents. It means I don’t metabolize folic acid, b12, or b6 properly as well. So I got put on a synthetic high-dose version that my body should be able to metabolize, and I have to take that as well as baby aspirin everyday for the rest of my life pretty much.
So, because of my previous fertility problems, that are now compounded by only having one tube, he thinks my overall best bet is IVF obviously. But, while we save up for it ($12-14,000 depending on medication protocol, cryopreservation, and what my insurance will cover) he is going to try a few things. First is clomid & decadron with monitored cycles, then maybe something else. Turns out my insurance doesn’t cover injectables at all, so that is out. He thinks I may have a chance as long as we can get my right ovary to produce. So fingers crossed I start saving up IVF money for no reason.