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A 21-year-old member asked:

Can endometriosis be decisively diagnosed by pelvic exam?

2 doctor answers5 doctors weighed in
Dr. Alfredo Nieves
Gynecology 40 years experience
Endo: The gold standard for the diagnosis of endometriosis is laparoscopy. On a personal note in the prescence of pain with menses and significant pain when I do my exam and stretch the uterosacral ligaments, i find endo at the time of laparoscopy about 90% of the time.
Dr. Kenan Omurtag
Obstetrics and Gynecology 15 years experience
Yes and no: On pelvic exam, nodules that are palpable on the ligaments that support the uterus can be highly suggestive of endometriosis especially in the setting of historic patient data (painful periods that improve while on birth control pills)...Ultimately, the "gold standard" diagnosis is visualization with laparoscopy but often times this can be misleading bc endo may not be superficially visible.

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Lawrenceville, GA
A 24-year-old female asked:

Can endometriosis be determined by a pelvic exam?

1 doctor answer4 doctors weighed in
Dr. Gerard Honore
Fertility Medicine 29 years experience
Determined, no: Suspected maybe. It depends on a lot of things, including the extent and location of the endometriosis, how easy the woman is to examine (one case where being very skinny really helps), and the experience of the examiner. Good wishes.

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Last updated Jul 27, 2015

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