<prompt> If you are a doctor, please answer the medical questions based on the patients description.My wife is suffering from Endometriosis. She was treated with Decapetyl 3.75 mg 4 shots-21 days gap in-between. Now she is given Adova 1mg tablets to help in conceive. Earleir she was given CCQ-50 and Fertylsure..but that did not work. She has already undergone surgery once. Please let me know how can we understand if she is ovulating or not?  <response>: Hi, Endometriosis is a progressive disease, so earlier she conceives, better . Decapeptyl would have cleared all the minute, invisible deposits of endometriosis. But once she gets periods these deposits will restart, so the best way is stop periods best way for this is pregnancy no periods for 10 myths! I would advise you to go ahead with Ovulation tablets CCQ etc. with Hormone injections which confirm good eggs timely ovulation. You can Combine with GUI if needed to further increase pregnancy chances up to 20-25 , if GUI fail 3 times go ahead with IVF Pregnancy chances 40-45Endometriosis will cause adhesions scarring around ovaries may not allow egg to come out- Mutinied Unruptured Follicle LUF syn Chat Doctor. All the best 