Ok so I need some feedback, Ill try and be concise but its tricky.

So here are my options after RE visit
I have Endo which is acting up and fluid in one tube, far form uterus but still there, so

A cycle of Lupron, has pretty much been decided, Ive been on it before and it worked to quiet and shrink everything down so Im ok with that.

Dealing with the hydro is where it gets tricky

Normally its done with Laparoscopy, had one of those before too wasnt I recovered pretty well and quickly, BUT where my Endo is so very bad theres the potential for them not to be able to get to the tube enough to clamp off therefore it may turn mid-game to a Laparotomy which is invasive major surgery, so I could go in for day surgery and end up have a 3 day stay.

There also an option of doing an experimental procedure to deal with Hydro. The procedure itself is a prove form of birth control but its technically still in clinically study for the treatment of Hydro. It going in virginally and cauterizing the tube closed. Theres some controversy as to how well this works, how well it closes and how long it last. Again with me there additional concern, because the Endo is so bad, its changed my anatomy, where things are in a normal woman do not necessarily hold true for me. So theyll be a bit blind and run the risk of the heat of the cauterization going though to the bowel.

Im on the Lap side, DH on the other. Basically he hates the idea of his wife being cut open and the pain and recovery involved. Im concerned about the anatomy issues with that and am feeling like the more conservative way if the Lap where they have more control. Im also thinking that maybe with a full round of Lupron prior to anything that its going to shrink down the endo adhesions there by making the ability to get in Laparoscopically easier. I called my Ins Co to see if the caut would be covered and it would be. Ive called and made an appointment with my GYN, shes the one who did my Lap 5 years ago and therefore the only one whos been in there to truly have a feeling on the terrain and Im hoping shell be able to give me some advice as to how concerned I should be about the bowel location is we went with the caut. Theres also the I dont believe my RE has actually done one of these procedures, although shes confident it should be on problem but concerned about the bowel. The lap shes an expert in.

Any input is appreciated, Im not liking this whole case study Ive become, Im trying to be a well educated patient but that only gets you so far