My husband and I have been trying to conceive for over 6 years. Last year, I finally got pregnant on my own, no medication or anything. It turned out to be a misscarriage. I finally got my OBGYN to refer me to a specialist after another year went by and did not get pregnant again. My bloodwork was fine, my cycles are between 24-28 days regularly, and I ovulate each month. My husband did a semen analysis and his was normal (only thing was he had a higher % of abnormal shapped), but doc said it wasn't that abnormal where he would be worried about it. I did an HSG and my one tube was totally blocked and the other showed the dye go in but not spill out. So the doc thinks that my last misscarriage was ectopic due to my symptoms and my tubes. After our last follow up to go over the results he suggested that I do a laparscopy and he said his best diagnosis is that I have Endometriosis. After reading on the internet... it seems as if my best option would be to skip the laparscopy and go straight to IVF. Am I right in thinking this? I'm not trying to rush over anything, however found that if I was ectopic my chances are higher to have another one... also the expense of it and chances of it working are so low? Thanks for your help.