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Mild endometriosis.

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Hi dr
I have mild Endometriais
I did lap last august ( first time diagnosis ) they burnt my endo spots by leser and remove adhesion
They did DYE test after remove adesion during lap which was positive -- both tubes open
After that i took decapeptyl 11.25 which stop my period from august to feb
Now i am thinking should i do HSG to make sure my tubes not get adhesion again ?

Category: OBGYN

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Category: Infertility Specialist
Dr. Aarti Vazirani is online now

Expert:  Dr. Aarti Vazirani replied 4 Days.

Thanks for writing to us at DoctorSpring with your health concern.
As the tubal patency test was done in August, there is no need to repeat the HSG again so soon.
IN fact, you should try and expedite your efforts in getting pregnant, before endometriosis flares up.
So aim at active attempts for conception, in the form of follicular monitoring and Intra uterine insemination (IUI).
All the best
Take care, and please feel free to discuss further.

Patient replied :

dr today is CD 27
i did home pregnancy test was +
i did Bhcg was 54 mlu/ml
is this pregnancy ?

Expert:  Dr. Aarti Vazirani replied 3 Days.

Yes, this is a pregnancy.
When was your last menstrual period, and what is the normal duration of your cycles ?

Patient replied :

my LMP was 12 feb
it is 28 day length
my period due is wed 12 mar ( as feb 28 day only )

i have one misscarriage before
i am MTHFR c677t hetro
my dr before told me to take baby aspirin and when i get pregnant take innohep 4500 iu daily
i am taking 200 mcg folic acid and 200 mcg methyl folate , and utrogestan 200 twice daily

Expert:  Dr. Aarti Vazirani replied 2 Days.

Please start the aspirin.
Also, please repeat the B HCG test and go for a transvaginal pelvic ultrasound scan on the 13 th of March if you do not have a period by then.
Start the injectable heparin once your pregnancy gets confirmed.
All the best to you.

Patient replied :

thanks dr
my period is 28 days length
, i did first Bhcg on Cd 27 was 54
i repeated it the next day after 23 hrs on cd 28 was 97

what do u think please ?

when i should go for my doctor to see sac and heartbeats ?? my period due is tomorrow <

Expert:  Dr. Aarti Vazirani replied 1 Day.

Go to see your doctor on the 13th of March for pelvic scan and repeat B HCG values
All the best,

Dr. Aarti Vazirani
Category: Infertility Specialist
Residency: Obstetrics & Gynecolog, BJMC,Civil hospital, Ahmedabad, 2008
Post Graduate: MS (Obstetrics & Gynecology), B.J. Medical College, Ahmedabad, 2008
Medical School: MBBS, B.J. Medical College, Ahmedabad, 2004
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