### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Dear Sir;I am 38 yrs old with low ovarian reserve, severe endometriosis & one completely blocked & one distally blocked tube.I had 2 failed ivf with long protocol.one time I used menogon & the other Gonal F & in both my Re used to imcrease the dose in the last 5 days of stimulation.And in 1st one I got 5 follicles& 4 were fertilized.second time I got 7 follicles& also 4 were fertilized.Now do you think I would continue on long protocol or should I change to short one?I read some article that distally blocked tube with endometriosis can bring fluids to embryo & prevents it from implantation.And it can also lead to hydrosalpinx that is also toxic to embryo, And its better to be removed or ligated.Please I need a clear answer espicially about the tubes because its very critical & expensive for me given that I didnt have history of hydrosalpinx.Also I have 2 frozen embryos from my last ivf.I want not use them the coming time & do fresh one and transfere 2 & freeze the rest.Is it wise to do that? Because I am afraid of my response to induction due my low AMH, if I use the frozen then postponed the fresh one to a later time I might not yield enough eggs.Thanks for your replies

### output:

Hi, Thank you for choosing Chat Doctor. Considering your age and previous history definitely It's difficult to yield the eggs again. This might be your last chance. I personally advise you to go for surrogacy or adoption if this cycle fails. I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow-ups. If you like my answers kindly rate it, and write a review as well. Please do not forget to accept it. Thank you, Wish you good health. Chat Doctor. Chat Doctor .com/doctors/