Endometrial cavity fluid

Iโ€™ve had ECF ever since a d&c and forcep removal of rpoc in Jan 2022. Iโ€™ve taken prophylactic abx, hysteroscopy with loa and normal lap, 2.5 months lupron and letrozole for adeno. Failed medicated FET.
1) should I do a modified natural right away or do more lupron first?
2) I assume fluid is from adenomyosis (mri confirmed) but Iโ€™ve been trying to push my rei to do Emma and Alice to make sure no bacterial cause of fluid and inflammation but he doesnโ€™t do. How can I find a doctor who will do it near me or is fertilysis of menstrual blood as good?
You can reply with med terms as I am a physician thanks!

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