I am a 32 yr-old w painful periods, dysf bleeding & many endometriosis symts. my dr r/o endo after hysteroscopy. how reliable is this w/o laparoscopy?

Not at all: In most cases, endometriosis must be seen either by a laparoscopy or laparotomy. Hysteroscopy gives a view within the uterus only and endometriosis cannot be diagnosed this way.

It is not: A hysteroscopy does not allow for visualization of the pelvic organs and is not adequate to determine whether someone has (or doesn't have) endometriosis. Definitive diagnosis of endometriosis requires at least a laparoscopy.