Barb poses a good question.

Is the second surgery an absolute must?

The good doctor explained this pretty well; I must be lacking in my communication skills to the internet.

He said we would be fooling ourselves if we were to think he was able to eradicate all of the disease with one surgery, because the disease was so severe. He believes the Lupron will shrink what is left, for the most part, but to have the ABSOLUTE BEST CHANCE of achieving pregnancy, he would need to go in again and take out whatever remains. Basically he gave the impression that this would be my ONLY chance at pregnancy.

He was fairly convincing. I just hope my insurance will pay for another surgery.