Going to the gynie

Last Friday I had an appointment with my gynecologist. Going through the usual procedure (taking blood pressure, weight, etc.) the nurse noticed that my last appointment was December of '06. I can not believe it had been that long. I guess because we did our iui in Nov of '07 and had appointments pertaining to that that it slipped my mind about my yearly exam.
I told my gynie about my irregular periods (I have bleeding before I get my period. I call it the period before my period) and having extremely painful cramps. She ordered an ultrasound, blood work (she's concerned with my thyroid and progesterone levels) and a laparoscopy to find out what's going on. She also said the lap would be good also to see if my parts are in working order. I asked her if the bleeding could be a sign of short luteal phase and she said it's possible. She also asked about our plans to have a baby. She mentioned donor sperm and adoption. I told her that we will be doing ivf because it's not like we don't have any sperm. Of course if there's something wrong with me we will have to have discuss another course of action.
I mentioned not being able to lose weight also. I've been eating healthy and exercising for an hour every day and I'm not seeing/feeling a difference. It's just so frustrating. The whole if thing and now we are starting year five with no baby. I hope to get answers after the tests and surgery.