Our expert says:
It is important that the diagnostic method to assess tubal damage be carefully evaluated. X – rays are not as accurate as laparoscopy with respect to tubal damage. Tubes may appear patent on x-rays but on the laparoscopy may be adherent and non – functional and therefore I would rely on the laparoscopy more than the x-rays. However this does not mean that insulin resistance is not present as this is a separate entity and should be dealt with on its own merit.
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