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Doctor insights on: Can A Regular Pelvic Exam Rule Out Endometriosis

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Can endometriosis be determined by a pelvic exam?

Can endometriosis be determined by a pelvic exam?

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. ...Read more

Dr. Srbislav Brasovan
311 doctors shared insights

Pelvic Exam (Definition)

Physical exam involving examination of the outside of the female genitalia (vulva), the inside (vagina) , as well as an examination of the cervix, uterus, tubes, ovaries, and tissue around the uterus (parametria). A bimanual exam then involves 2 fingers in the vagina with the other hand on the abdomen. A rectovaginal exam is one finger inthe vagina, one finger in the rectum with ...Read more


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Can endometriosis be decisively diagnosed by pelvic exam?

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. ...Read more

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Will a pelvic exam and pap smear detect pcos and/or endometriosis?

No: Not really. The pelvic exam can rule out any masses or major abnormalities. Pcos is diagnosed based on clinical findings and abnormalities in blood work(hormonal). Endometriosis is diagnosed by laparoscopy. ...Read more

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I had a pelvic exam to help diagnose a cyst on my left ovary and am still in pain 20 hours later. I may have endometriosis according to my new dr?

YES Endometriosis: Endometriosis usually causes chronic pelvic pain and may cause a 'cyst' . Pelvic pain with intercourse, bm, and urination commonly occurs and symptoms may be worse during periods. Periods can become heavy with bleeding in between. P.I. D. Needs to be ruled out but a laparoscopy ('scope in the belly') is the best test to get a diagnosis. Your gyn will get you the right meds hope you are better! ...Read more

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I am 20, have long (approx 2 weeks) heavy, painful peroids and never had a pelvic exam. My mother had same issues and endometriosis, am I at risk?

I am 20, have long (approx 2 weeks) heavy, painful peroids and never had a pelvic exam. My mother had same issues and endometriosis, am I at risk?

Menses 3-4x/year: If you only have a cycle every 3-4 months, this may be another reason you have such painful cycles. The endometrium builds up and when the lining does shed (menses), the increased amount can cause prolonged & painful cycles. This also places you at risk for hyperplasia (precancerous endometrium) & you would benefit from an evaluation & hormonal rx (ocps, or Provera (medroxyprogesterone) for 10 of 30 days). Take care. ...Read more

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I have endometriosis and pelvic exams are always very painful for me. what does this mean?

I have endometriosis and pelvic exams are always very painful for me. what does this mean?

Multiple reasons: You could have multiple different reasons for pain during and after exams. You may have pelvic floor muscle spasms, vulvodynia, endometriosis, painful bladder syndrome among others. You should be carefully evaluated by pelvic pain specialist. ...Read more

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Pelvic exams are always very painful for me. I do have endometriosis. What does this mean?

Makes sense: Those two very often go together. If you do not have a certain (surgical) diagnosis of endometriosis, painful exams doe snot mean that's what it is. Treatment of the endo is the solution to the problem. Good wishes. ...Read more

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I have been having a problem with constant bleeding and stomach pain. they put me on birth control it lessened it until recently. my doc did a pelvic exam and an ulrasound but nothing came up. What is Endometriosis and could it be a cause? my aunt had it.

I have been having a problem with constant bleeding and stomach pain. they put me on birth control it lessened it until recently. my doc did a pelvic exam and an ulrasound but nothing came up. What is Endometriosis and could it be a cause? my aunt had it.

Maybe pain: Endometriosis is a pelvic peritoneal disease in women; often associated with pelvic pain and sometimes with infertility. It is definitely not a cause of dysfunctional bleeding though, so you "may" have more than one condition going on. You need to work with your doctor to take the diagnosis another step. Good wishes. ...Read more

Dr. Michael Traub
1,198 doctors shared insights

Endometriosis (Definition)

An abnormal condition where some endometrial tissue, which is lining tissue of the uterus, is located outside the uterus. The displaced tissue, just like the tissue lining the uterus, bleeds during each menstrual cycle. Endometriosis can be very painful, and can result ...Read more