Diagnosis of Endometriosis
The doctor will ask you about your symptoms, take a medical and family history, and perform a pelvic exam. If your family history, medical history, and/or medical examination support the possibility of endometriosis your healthcare provider may want to do additional studies to determine whether you have endometriosis.
There are differing approaches. The "old school" approach advocates a certain diagnosis and classification of the severity of endometriosis before giving any therapy for possible endometriosis. In contrast, those practicing the "new school" approach advocate a therapeutic trial in patients who are deemed likely to have endometriosis, without requiring surgical confirmation. The latter is most often used when the patient’s primary symptom is pain, and there is no immediate desire for fertility.
If your doctor suspects you have endometriosis, he or she may perform the following tests:
Ultrasound – Transvaginal ultrasound appears to be a useful test both to make and to exclude the diagnosis of an ovarian endometrioma (growth of endometriosis and old blood within the ovary).
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Last reviewed November 2008 by
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