another lap vs. fertility treatment

Hi all, just looking for any advice/insight and support. This may be a longish post.

35F. I had endometriosis surgery in 2022 which found Stage 4 DIE. Recovery was tough, but the surgery was life-changing and so worth it! I was not in a place to TTC afterward due to other things going on.

I had another endo surgery in 2024 which found Stage 2 endo. Surgery was much easier the second time around. I stopped birth control and started tracking ovulation.

Fast forward to 2025, still no luck, so I saw a fertility specialist. I’ve had an SIS, lab work, many ultrasounds, and have tried medicated cycles (Letrozole). Not a single positive test.

Aside from all this, I eat pretty healthfully, I don’t smoke, I rarely drink, and exercise daily. My partner is also healthy. I’m taking NAC, Omega 3, Magnesium, Vitamin D, and LDN. I have Hashimoto’s but it’s treated and my thyroid levels are well within range.

At this point, my RE said it would be worth it to consider a third lap prior to trying something like IVF. I do still have endo pain, but nothing like it was prior to my first surgery.

Just wondering others’ thoughts, or if there’s anything else I can try, specifically from a standpoint of lowering inflammation.

Thank you!