How to get Dr to do Lap??

Hi ladies.

My husband and I have been TTC for 8 months now. I went in to the doctor at 6 months due to endo. I’ve never been diagnosed via lap, but my mom and sister have endo and adeno.

The NP was great and ordered a progesterone test post-ovulation, an SA for my husband, and an HSG for me. Everything came back normal (yay!), except for a tilted uterus. The nurse called and said the NP wants us to try for another 6 months.

Here’s the deal - I am 99.99% sure I have endo. I’m also a speech therapist in the schools so if I have surgery, I need to be able to do it this summer while I’m off. I firmly believe the only way we will get pregnant is after a lap. I think the endo is causing the tilted uterus and has fused some organs together. I have pain all month long and for a week to a week and a half during ovulation.

How do I get my doctor to do a lap sooner than she’d like? Should I push for it or keep waiting? Thoughts?! 😩

Thanks, ladies!