Before I go any further, I want to thank everyone who has taken the time to comment recently. I thoroughly appreciate your thoughts, prayers, and concerns. You have given us much to think about and consider as we decide what to do next.
At this point, Husbandido and I have decided that it is worth sending my charts and medical records to PPVI for another opinion. Beyond that we have not decided how much else we are willing to do; it will come down to what is suggested and the rationale behind it. We have agreed that if they suggest doing the ultrasound series, I will do that. At the opposite end, we have agreed that it would take a very compelling reason for me to have surgery again. (Something along the lines of "Let's see what's going on" or "There has to be something else causing problems" would not do it.) We have also discussed limits on what dietary changes I am willing to make, since I saw no effect, either in how I felt or my antibody titers, when I went GF.
Why did we decide to request another opinion? The first reason is wondering if there is something else going on, something that has been missed. None of the diagnoses I have received so far are such that conceiving is unlikely (Hashimoto's syndrome, diffuse stage I endometriosis, which was removed, and type III luteal phase defect). Based on what has been looked at so far, I respond well to treatment, with hormone levels in the desired ranges. Together with the not infrequent mistakes and confusion we have gotten from our doctor's office, it leaves us wondering if there is something else going on. Secondly, there is the simple fact that right now I am, at best, ambivalent about adoption. Most often the thought of adopting leaves me upset and depressed. Due to childhood verbal and emotional abuse I am very touchy on the subject of being second best or not good enough. The conventional wisdom that focuses on the loss and trauma that leaves a child eligible for adoption has me incredibly fearful of investing so much time, money, energy, and love into raising a child or children who will reject me/us as not good enough, not their "real" family, not enough. Tomorrow evening we are speaking to Bilbo and Biscuit's (two of our cats) foster mom, who was adopted as an infant and has raised an adopted son to adulthood. (She now has two grandchildren.) We also plan to speak to a couple from our parish who adopted their son from Peru (their son is about our age). So while we look further into the medical situation, we are also trying to deal with my fears about adoption.
While we can't yet put a definite limit on when we will stop, this certainly isn't a commitment to try everything suggested. We will listen to the opinion we receive and decide from there. Usually I hate leaving anything up in the air, but I think this is the best decision we can make for now.