Hello tinonchka, Operative Laparoscopy for Endometriotic cysts removal in a patient desiring pregnancy is the Gold Standard treatment. So the first step was absolutely correct. The chances of getting pregnant after this surgery is highest within 1 year of surgery. There is a debate about whether we should wait that one year before offering assisted reproduction techniques. A debate means that one can offer different options of treating. At our centre we would suggest that a patient be considered for IVF now. Considering your age too, the best chances with IVF happen before age 35 years. Since 1 year has already elapsed since your surgery and since endometriosis is actively present even now, i would think that chances of conceiving by yourself are not very high even after you undergo a second Operative Laparoscopy. May i suggest that you discuss the option of IVF with your doctor and request to be put on waiting list. While you wait you could undergo another laparoscopic procedure to clear out the inner pelvic region as much as possible and, maybe, to hook up the ovaries to an accessible place so that its easy, at a later date, to aspirate the eggs for an IVF cycle. That way you get the best of all chances. Your doctor will best be able to answer local waiting times on NHS. Regards and all the best. Hope this answers your queries. One final word - nature is strange in its ways. Patients who, from medical point of view, have lesser chances sometimes miraculously do well. The trick here is a total and absolute relaxation into what is. Try meditation and yoga. The system may suddenly slip into a kind of surrender - then medical doctors seem to bring about wonders :) Actually its you who do the trick :) Relax.....