Dr Tejal Shah on Instagram: "Endometriosis isn’t always IVF& surgery First patient was very symptomatic with painful periods. So we performed the surgery first. Since her tubes and ovaries became normal she conceived twins with a simple IUI! Second patient had chocolate cysts but no symptoms. She was more concerned about her fertility because her tubes were blocked. They went straight for IVF and conceived twins in the first cycle. Surgery was not required Not all endometriosis cases are the sam