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Doctor insights on: How Is Endometriosis Diagnosed

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How is endometriosis diagnosed? How do I tell if my symptoms are caused by that or by fibroids? What are treatment options for both?

How is endometriosis diagnosed? How do I tell if my symptoms are caused by that or by fibroids? What are treatment options for both?

Surgery: While an elevates ca 125 can be suggestive of endo only surgery can diagnose it. Treatment options include surgery for both. Multiple medical options exist for endometriosis. Since women with endo have a higher risk of ovarian cancer knowing the diagnosis can be helpful long term. ...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


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What is the best way to diagnose endometriosis?

What is the best way to diagnose endometriosis?

Surgery: A biopsy of endometriosis is the only way to confirm a diagnosis. Almost always that requires a surgery. Based on symptoms there may be a very high suspicion and ultrasound may suggest an endometrioma (endometriosis cyst) but only surgery is diagnostic. ...Read more

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How easy or difficult is it to diagnose Endometriosis?

How easy or difficult is it to diagnose Endometriosis?

Easy: to diagnose with surgery (laparoscopy) if the surgeon is trained to recognize endometriosis. It is sometimes very tricky to suspect based on symptoms, history, and other tests alone and the diagnosis can ONLY be made with surgery. Good wishes. ...Read more

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Is it necessary to have surgery to diagnose and treat endometriosis? I don't really want surgery and all the risks etc

Nope: If you are okay living with the symptoms and the pain, there is no reason to put yourself through surgery. That is your decision. However, there are instances where the diagnosis might be something else, and you should talk to your doctor/surgeon to clarify that possibility and if there are other harms of not getting an operation. ...Read more

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Is laparoscopy the only definitive way to diagnose my endometriosis?

Is laparoscopy the only definitive way to diagnose my endometriosis?

Yes: All other tests and ultrasounds are not diagnostic , just suggestive of this condition. Taking suspicious tissue from the pelvic organ is it. Laparoscopy makes this possible with very little pain or bleeding. ...Read more

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Without a laparoscopy are there any other ways to diagnose endometriosis?

Sometimes: The true diagnosis of endometriosis requires a biopsy and a pathologist to confirm the diagnosis. Almost all the time this requires an abdominal procedure, commonly laparoscopy. However, some women may have nodules of endometriosis in the vagina, for instance, that can be biopsied in the office to prove endometriosis. Usually this is a bad prognostic sign. ...Read more

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Will an ultrasound help my doctor diagnose endometriosis?

Will an ultrasound help my doctor diagnose endometriosis?

Yes: Mainly if there is a complex cyst in the ovaries that could help prepare the plan for surgery. A negative ultrasound does not exclude the disease. ...Read more

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Should a GYN do a biopsy to diagnose endometriosis? My Dr didn't do a biopsy and I'm concerned my symptoms are ovarian cancer.

Should a GYN do a biopsy to diagnose endometriosis? My Dr didn't do a biopsy and I'm concerned my symptoms are ovarian cancer.

Clarify plan: In order to do a biopsy to confirm Endometriosis your doctor will need to perform a surgery to allow entry into your abdominal cavity. This is called a laparoscopy. An endometrial biopsy can be done in the office but this samples the lining of the uterus and is not form endometriosis. If you are concerned about ovarian cancer then please see an Obgyn to clarify the symptoms and the evaluation plan ...Read more