<s>[INST] hi, i am 35 yrs , and diagonsed with endometriosis moderate level.. we are trying for baby, i dont wont to go through IVF. my hormone tests are normal.. am on ova care and letrozole.. i want to know whether i sd go in for ivf or not? i underwent lapro on 24 th apr 2010,, then for two months i was on lupride depo and my period started from mid aug..then after we are trying.. [/INST] Hi, I have gone through your question. Yes, you can go for IVF as your age is 35, and you are suffering from endometriosis. Conception is very difficult in endometriosis because the fallopian tubes are distorted, and their function is suboptimal. Since you have taken 2 cycles of ovulation induction with aerosol, and failed to conceive, therefore I would suggest you to get in vitro fertilization as further trials of ovulation induction can lead to ovum depletion and decreased ovarian reserve for in vitro fertilization, if required later. Hope you found the answer helpful. Wishing you good health. </s>