Hmm not sure though but I think it affects ovarian reserves only when the cysts are in ovaries.mine r tiny ones that cluster together overtime and were outside of ovaries. Not visible under ultrasound and I have history of bad cramps. Think he advised me to go for lap cos I tried four iui 1 Ivf but to no avail and the endo may well cause scarring and in my case likely impairs fertility which explains y I haven been successful in conceiving so far even though me and hb are cleared of all other factors. He also did scanning for me during my lap and my linings r fineI went for scan with dr tan too and he said my cyst is endo cyst and the size is abt 3cm but he advised against laparoscopy and still said he bet his last dollar that all other docs will advise to go for the surgery. He said since I do not have pain associated with endo, n the surgery may cause reduction in ovarian reserves so he just asked me to proceed with IVF. Too bad the cycle failed. As I never did lap I do not know how bad the endo is in my case hmmmm
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