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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is IUI Procedure Advisable When Diagnosed With Endometriosis Cyst?

Hi. I am 32 years old. I have endometriosis syst measuring 3.5mm. It was initially 5.2mm but i took oral contraceptive for 3 months and the cyst has come down to 3.5mm. I am trying since 1 year for pregnancy but not successful. Doctors ask me to go for laproscopy but I don t want to get operated. Can i try IUI?
Thu, 30 Nov 2017
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General & Family Physician,  's  Response
Hello,
Thank you for your query.
Endometriosis is a devastating problem for those who want to conceive.
It can destroy eggs and scar the tunes.
Hence time is of vital importance.
I recommend :
-as you wish, you can try Iui. However success rate is low.
-try iui for 2 cycles, then other options and treatment need to be considered. If you have just one cyst, you may conceive.
If many cysts or big cyst, laparoscopy helps in reducing its effects on the hormone levels and also helps to assess the condition of the fallopian tubes.

-a hysterosalpingogram (hsg) can be done to check for blocked tubes (a complication in endometriosis). This is where they inject a dye and x-rays are taken it see of it comes out through both tubes (proving patency). It takes 10 minutes. This can help get rid of small blocks too and facilitates conception.

-try to maintain a healthy lifestyle and diet.
Take folic acid supplements.
Check thyroid and hemoglobin levels.

Hope this helps and you conceive soon. Wish you good health
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Is IUI Procedure Advisable When Diagnosed With Endometriosis Cyst?

Hello, Thank you for your query. Endometriosis is a devastating problem for those who want to conceive. It can destroy eggs and scar the tunes. Hence time is of vital importance. I recommend : -as you wish, you can try Iui. However success rate is low. -try iui for 2 cycles, then other options and treatment need to be considered. If you have just one cyst, you may conceive. If many cysts or big cyst, laparoscopy helps in reducing its effects on the hormone levels and also helps to assess the condition of the fallopian tubes. -a hysterosalpingogram (hsg) can be done to check for blocked tubes (a complication in endometriosis). This is where they inject a dye and x-rays are taken it see of it comes out through both tubes (proving patency). It takes 10 minutes. This can help get rid of small blocks too and facilitates conception. -try to maintain a healthy lifestyle and diet. Take folic acid supplements. Check thyroid and hemoglobin levels. Hope this helps and you conceive soon. Wish you good health