Endo can only be diagnosed via laparoscopic surgery although you usually have a lot of pain and heavy periods. They can also see signs of Endo (usually) with a hysteralopingagram (i know I'm botching that name - it's a common test if you have issues). Fibroids are diagnosed with ultrasounds.
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I had an hsg a few years ago and 3 months later got pregnant. They said everything looked normal..back then but it was a few years ago.