Hello Dr. Sher at my current clinic I have gone through 4 transfers with PGT-A normal embryos. My first transfer resulted in a chemical pregnancy, but the following transfers did not implant at all. The tests I have done are ERA, EMMA/Alice and receptivaDX which all came back negative or normal. I suspected I have endometrioses but don’t have the classic symptoms and every doctor did not think I had it either. But recently I had laparoscopic surgery with an endo specialist, and he found and excision severe endo that had my ovaries stuck to my pelvic wall and my tubes were damaged, so they were removed.

Now to the question what kind of FET protocol should I do? Like do you think I should do suppression before a transfer. Should I also be doing a steroid or other medications?

Thank you I appreciate you taking the time to answer questions.