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How Is Endometriosis Diagnosed?

Endometriosis is one of the most common gynecological diseases, it may develop with time if left untreated, and the symptoms caused by endometriosis aggravate. When lower abdominal pain and pain with menses occur, it can be a sign of many conditions. Then, how is endometriosis diagnosed, you can know more about it from the best endometriosis association.

Endometriosis can be suspected based on symptoms of pelvic pain and findings during physical examinations in the doctor's office. Occasionally, during a recto exam, the doctor can feel nodules (endometrial implants) behind the uterus and along with the ligaments that attach to the pelvic wall. 

At other times, no nodules are felt, but the examination itself causes unusual pain or discomfort.

Unfortunately, neither the symptoms nor the physical examinations can be relied upon to conclusively establish the diagnosis of endometriosis. Imaging studies, such as ultrasound, can be helpful in ruling out other pelvic diseases and may suggest the presence of endometriosis in the bladder areas, but still cannot definitively diagnose endometriosis. For an accurate diagnosis, a direct visual inspection inside of the pelvis and abdomen, as well as a tissue biopsy of the implants are necessary.

As a result, the only accurate way of diagnosing endometriosis is at the time of surgery, either by opening the belly with large-incision laparotomy or small-incision laparoscopy.

Laparoscopy is the most common surgical procedure for the diagnosis of endometriosis. Laparoscopy is a minor surgical procedure done under general anesthesia, or in some cases under local anesthesia. It is usually performed as an outpatient procedure (the patient going home the same day).