Hello,
Thanks for your consult at DoctorSpring.com
Let me answer your questions in the order in which you have posed them -

1. Your husband's count has definitely improved after varicocele repair, and spontaneous natural conception is possible with this count. However, percentage of abnormal morphology of sperms is quite high in his report. After endometriosis surgery, there is high chance of recurrence of this condition. As long as you were under the effect of Decapeptyl, it would not come back, but once the injection wears off, chances of its coming back are high.So with this report, you might take time to conceive. Taking help of IUI / ICSI will save time and speed up the process, since his report is better than before, but not optimum for conception.

2. You had ovarian drilling. This means you already had PCOS earlier also. Ovarian drilling is the treatment of choice for PCOS, so this condition did exist earlier too. The reason why some women have PCOS is not known, it is basically a hormonal disorder, and endometriosis often coexists with PCOS.

3. The effects of Decapeptyl generally last for 3 months or 100 days, so now your body will gradually start recovering from its effect. It does take time and happens gradually , not overnight. The stress of multiple stimulation cycles and residual effect of Decapeptyl plus side effects of the stimulation injections must be leaving you feeling pretty wretched. Just give yourself some time. You need not take anything to kickstart your hormones again naturally, as that will only add to the side effects. Just staying medication and hormone free for a month ( rest cycle ) will make you feel much better. FSH and serum estradiol are done to know if the effects are wearing off, and these have been done in your case. They show that residual effect of Decapeptyl still persists, so you need more time.

4. Women with PCOS have high chances of OHSS ( ovarian hyperstimulation syndrome ) , so you cannot be given more strong stimulation.

As so many cycles of stimulation have failed, ICSI seems the next logical choice, particularly as you are running out of time from the endometriosis point of view. Before that, request your consultant to give you one rest cycle to feel better in body and mind. Then one more IUI can be tried with Antagonist Protocol ( less chances of hyperstimulation ) before proceeding for ICSI.

All the best.
Please feel free to discuss further.

Hello
Thank you for your appreciation.
I would be always happy to guide you and help you.
After taking Decapeptyl, you might get your normal period after 5 months or more.
So do not worry.
The pills prescribed by your doctor contain estrogen and progesterone and taking them will help to bring back your hormones to normal.
Wait for a couple of cycles before restesting FSH and estradiol.
The period will be an artificial one , induced by outside hormones, but it will help in kickstarting your hormones again.
Take care.

Hello again
Yes , I think this is your period in response to the withdrawal of the hormones.
You can confirm it by the following ways -
1. Pelvic ultrasound scan, which will show the status of the endometrium.
2. FSH
3. Serum estradiol
All the best.

Hello
To know whether the effects of Decapeptyl have worn off - the following tests will show that
1. FSH
2. LH
3 . Serum estradiol
4. Regular resumption of your periods
5. Probably recurrence of symptoms of endometriosis - pain during periods, painful intercourse, pain in passing bowel movements etc.
Take care.