First, so sorry to hear all of this. What I really wanted to post about was a fourth option for treatment that has really worked for me and several of my friends dealing with a whole host of female issues.
What about acupuncture, and, if you can find someone in your area, an acupuncturist who specializes in fertility and female issues? I was a true skeptic; when my H got acupuncture 6 years ago, I made fun of him and told him he was seeing a witch doctor! So when I decided to begin receiving treatment, I went in curious but doubtful.
I can't tell you what acupuncture has done for me and for my friends, including someone with pretty intense endometriosis and another friend who has been literally hemorrhaging during her periods because of whacked out pre-menopausal hormones. The BEST thing for me has been how acupuncture has not only regulated my hormones (my BBT charts are textbook perfect, all hormones at correct levels, etc.), but it has also done the following for me:
*NO or minimal cramping during periods (we're talking no more than a 2, when before I was at 7 or 8 for pain)
*Absence of anxiety, including social anxiety that was a real problem for me
*Absence of depression which tends to recur during times of stress, but has not been a problem
*I haven't been sick AT ALL this school year; as a teacher, I usually have been sick 2-3 times by now...and this has been a really bad sick season for the kids
*Loss of fatigue
*Sleeping through the night and feeling rested in the morning
*No more cystic acne
*A mole I had on my face disappeared
*No sinus issues--I used to have a sinus headache from September to March every year
*All digestive issues gone and regulated
There are more, but you get the point. My acupuncturist is using a combination of herbs, acupuncture, and diet to approach my issues. I've eliminated cow dairy, coffee (both of which contribute to clogging and adhesions) soda and peanuts; reduced my sugar intake; added a multivitamin and tons more veggies.
Acupuncture and TCM (Chinese medicine) is actually pretty successful treating endo, and at the very least, it would probably help manage all the symptoms and she'd feel better.
MAKE SURE your acupuncturist is a LaC and not just an MD who took their 100-hour course. Someone trained with the Chinese approach (not necessarily a Chinese person is essential. If you *can*, find someone certified by ABORM, which is the Oriental Medicine board that certifies a specialty in reproductive medicine (including a thorough background in Western treatments). Here's a link to their site and practitioners:
If not, acupuncture is pretty effective anyway, and as the whole system is treated (there is no "endo" point), the benefits are still great. You can always supplement with the information in this book:
The Infertility Cure: The Ancient Chinese Wellness Program for Getting Pregnant and Having Healthy Babies http://snipurl.com/u89k5
I actually didn't purchase the book after looking through it because my acupuncturist is doing most of what's in it. However, it's a well known book, and the author actually has a clinic and workshops that support the information in the book:
I don't know where in Oregon you are, but a quick search shows tons of acupuncture places.
Finally, there are tons of other paths to having children if it comes to that. There are lots of people out there willing to be surrogates, there's adoption...there's really no boundaries except the ones you place in front of you.
It's tough news for your W. Right now, just be her rock. She's probably thinking to a large degree about disappointing you...in her mind, setting you free to get some other woman pregnant is the noble and "right" thing to do. Crazy thoughts go through women's heads...and so you just have to love her and stand by her and remember that there's a whole world of options out there if you really want to be parents.
(((Trent)))
SD
Me: 40 H: 43 H had EA from 2/06-9/06 Bomb 5/06 Piecing since 9/2006 3/2008: Boundary setting 7/2009: Boundary crossing~dropped my own bomb. 8/2010: Marriage finally on track!