How do you find out if you have endometriosis?

Surgery: Unfortunately the only way to know for sure is surgery and biopsy of endometriosis to confirm. On examination and based on your history there may be a strong suspicion, but only a pathology specimen can confirm it.

Laparoscopy: Need to be evaluated with a good exam, maybe ultrasound of the pelvis and finally a surgical procedure called laparoscopy. Laparoscopy is done under anesthesia and a small telescope with a camera is introduced into the abdomen via the umbilicus allowing the surgeon to look and inspect the pelvis and the whole abdomen looking for areas of endometriosis.