Our expert says:
HSG assess the patency of the fallopian tubes. However one can also see other things such as sub-mucosal fibroids, endometrial cavity adhesions and uterine abnormalities on a HSG. However an HSG does not diagnose endometriosis nor would it tell you if endometriosis has recurred and to what extend. One would suspect endometriosis recurrence if symptoms of painful periods are present again or if there is any suggestion on ultrasound or the presence of fluid in the abdomen and endometriomas. The best way to diagnosis if endometriosis has recurred is by doing a Laparoscopy. If you are planning to go for IVF, so it is better to first clear as much endometriosis as possible before starting IVF. This would give you a better chance to achieve a pregnancy. The best treatment would be surgically removal of as much endometriosis as possible and follow that with IVF or if your doctor thinks it’s necessary then after surgical removal go on a 3-month course of Zoladex followed immediately with IVF.
Answered by: Dr Y.M. Dasoo
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