<s>[INST] hello doc ... I m always have negative thought about future and getting little nervous. I Lost job due to doc advice to have baby because of my health. I have endometris cyst . Doc said only possible way for test tube baby. I dont have money to do that treatment and all . Lost job , no baby forming ... I m getting so depressed when m thinking about these :( [/INST] HELLO MADAM, Well,I don't deny the facts that pregnancy chances decrease in endometriosis, but I tell you IVF is not the only answer in this case. Pregnancies are possible in many cases if a good conservative laparoscopic surgery is done removing the cyst walls and restoring the pelvic anatomy, subsequently followed by aggressive infertility management. Of course the decision depends upon the treating doctor. I would rather suggest taking a second opinion of another laparoscopic surgeon doing these surgeries. Well good luck. </s>