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Doctor insights on: Pelvic Sonogram Ultrasound Endometriosis

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How helpful is a pelvic sonogram (ultrasound) in diagnosis of endometriosis?

How helpful is a pelvic sonogram (ultrasound) in diagnosis of endometriosis?

Endo dx: Only of there is a mass, ultrsound is very non specific tool. Laparoscopy continues to be the gold standard for the diagnosis of endometriosis. ...Read more

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Dr. Michael Gabor
2,244 doctors shared insights

Sonogram (Definition)

An ultraound, also known as a sonogram, is a painless and relatively inexpensive imaging test that utilizes sound waves instead of ionizing radiation. There are no side effects. Ultrasound can give us two-dimensional, and in some applications three-dimensional, images of structures and organs in virtually any part of the body. In addition to diagnostic uses, such as evaluating abnormalities in the abdomen, pelvis, and breast, ultrasounds are commonly used to guide needle and catheter placement in a variety of surgical ...Read more


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Can the pelvic ultrasound be enough to diagnose endometriosis?

Can the pelvic ultrasound be enough to diagnose endometriosis?

In the: right clinical context, there are US findings that can support the diagnosis. However, those findings are not specific for endometriosis. Also, a normal ultrasound does not exclude endometriosis. ...Read more

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Would a trans vaginal ultrasound/pelvic ultrasound detect endometriosis ?

Would a trans vaginal ultrasound/pelvic ultrasound detect endometriosis ?

Give indication: Xr, and anything without direct visualization give an indication as to what is suspected. The symptoms, the exam and the history makes a doctor arrive at a diagnosis as the most likely thing. If in doubt, then direct visualization needed. I hope that gives you reassurance. ...Read more

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I am taking bc pills continuously for endometriosis and have been having increased pelvic pain. The sonogram shows heterogenous uterus with 8mm endometrium? What is next step?

I am taking bc pills continuously for endometriosis and have been having increased pelvic pain. The sonogram  shows  heterogenous uterus with 8mm endometrium? What is next step?

Adenomyosis?: It's possible the heterogeneous uterus that was shown on ultrasound is adenomyosis. This is when there are glands in the uterus itself (similar to endometriosis inside the uterine muscle- the myometrium). Ask your doc about a "gnrh agonist" like Depo-Provera lupron (leuprolide). This would simulate menopause, but it can also help greatly with the pain of endometriosis or adenomyosis. You may need a hysterectomy if bad. ...Read more

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If I have a transvaginal ultrasound done and they still say nothing is wrong, should I push for a pelvic laprascopy? Have all the symptoms of endometriosis and have had tests done and dr's tell me see nothing wrong. Have very heavy and painful menstruatio

Hmmm, this can be : A tough one. Painful , heavy menses can be remedied with a trial of birth control pills or other forms of hormonal suppression depending on your medical history, etc. Might be best to try this before pursuing laparoscopy. Okay to ask your doctor about their opinion on surgery. Answer will depend on your particular situation. Don't be afraid to bring it up and one can also seek a second opinion. ...Read more

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Can u still have endometriosis or ovarian cancer w/ a clear transvaginal ultrasound? My doc says my ovaries are normal and my tiny cyst is gone. I have tons of pelvic pain & my mom has the brca2 gene.

Can u still have endometriosis or ovarian cancer w/ a clear transvaginal ultrasound? My doc says my ovaries are normal and my tiny cyst is gone. I have tons of pelvic pain & my mom has the brca2 gene.

Yes and No: Yes: you could definitely have endometriosis with a clear ultrasound, but would not likely have an endometrioma of the ovary no: it would be pretty unlikely to have ovarian cancer with a clear ultrasound and even if you did have extremely early undetectable cancer, it would not cause pain. ...Read more

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Right pelvic pain and cramping, low back pain had the exact thing last month same time with copius dischrage, pelvic ultrasound norm, so were cultures, can this be endometrosis, my mom has it?

Right pelvic pain and cramping, low back pain had the exact thing last month same time with copius dischrage, pelvic ultrasound norm, so were cultures, can this be endometrosis, my mom has it?

Yes: There is a genetic component to endometriosis. And these are typical symptoms. No guarantee that is the problem. A full eval is warranted, often by a fertility specialist (endometriosis expert). To know the exact diagnosis would require some more testing and evaluation. ...Read more

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What to expect when i get my ultrasound for endometriosis?

Endometriosis: The ultrasound should let you know if you have a endometrioma (cyst from endometriosis) in your ovary. It won't help if you have scar tissue or other types of endometriosis. Those can only be identified surgically. ...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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Does endometriosis show up on an ultrasound?

Does endometriosis show up on an ultrasound?

No: No. Endometriosis is diagnosed based on symptoms or during surgery. The only way to for sure know it is endometriosis is to see it at surgery and biopsy the spot. ...Read more

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Can someone tell me how to prepare for an ultrasound for endometriosis?

Can someone tell me how to prepare for an ultrasound for endometriosis?

Ultrasound: You don't need any special preparation. If they are going to do a transabdominal scan alone or in addition to transvaginal, they might want you to arrive with your bladder full. ...Read more

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If the ultrasound doesn't show endometriosis, What else I can do? What blood tests I can do? Because some opinions suspect that I have endometriosis

If the ultrasound doesn't show endometriosis, What else I can do?
What blood tests I can do?
Because some opinions suspect that I have endometriosis

FollowWithGynecologi: Endometriosis diagnosis is suspected based on history of pelvic pain often during periods,pain is worse than regular menstrual pain.pain during intercourse,excessive bleeding,inferility.Diagnosed by pelvic exam,ultrasound and Leparoscopic exam.There is no blood test to diagnose it,It is treated with meds or surgery.Follow the advise of your Gynecology ...Read more

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Can endometriosis be detected by a transvaginal ultrasound?

Probably not: 22y female asks if endometriosis, EM, is detectable by "transvaginal ultrasound". Since EM is a theoretical clinical disease in search of a diagnostic benchmark, the answer is "probably no". Let's see what the experts have to say. Pathologists I have spoken to have not confirmed that tissue diagnosis is definitive. Be wary of invasive procedures which incite adhesions & "EM" & IBS-like symptoms. ...Read more

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Do you think it's endometriosis as my ultrasound came back negative ?

Do you think it's endometriosis as my ultrasound came back negative 
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No context;can't say: An ultrasound (US) is NOT the test of choice to diagnose endometriosis. US is used to diagnose uterine fibroids and/or cysts, & its accuracy depends on the size of the fibroid/cyst under question. Endometriosis (uterine tissue outside the uterus) may only be a few cell layers thin, so ultrasound frequently will not detect it. Discuss symptoms on HealthTap Prime or TTYD. Meanwhile, upload US report ...Read more

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Which is the treatment options for ENDOMETRIOSIS diagnosed by pelvic ultrasound?

Which is the treatment options for ENDOMETRIOSIS diagnosed by pelvic ultrasound?

Endometriosis: is often diagnosed by imaging including ultrasound. It is not definitive but can identify cysts associated with endometriosis, uterine tissue growing outside the uterus. Medications are generally used first including anti-inflammatories including ibuprofen/naproxen, but generally hormone therapy is more effective. Ultimately surgery to remove endometrial tissue or hysterectomy is often done. ...Read more

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Sharp abdomen unsettling pain thats hits the back too. No pain killer has helped. Patieny has endometriosis but mild. Had ultrasound no stones?

Sharp abdomen unsettling pain thats hits the back too. No pain killer has helped. Patieny has endometriosis but mild. Had ultrasound no stones?

Further workup : Clearly further workup is needed. Not everything shows up on an ultrasound. Even though the gallstones were not seen, the gallbladder itself could still be quite diseased and that would require a different type of scan. Please make sure that the patient is seen again and carefully re-evaluated using necessary scans such as a ct scan or an mri. Do not give up until the cause is found. ...Read more

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I have so many problems in my menstruation, but I had ultrasound one year ago it was clear,if I do now,will it show something?Dr suspect endometriosis

I have so many problems in my menstruation, but I had ultrasound one year ago it was clear,if I do now,will it show something?Dr suspect endometriosis

Endometriosis: A repeat ultrasound could help show if there is an issue in the uterus. Have you had blood work to check hormone levels? Consider consulting with us to be sure you are getting the best care with your menstruation issue. ...Read more

Dr. Michael Traub
1,227 doctors shared insights

Endometriosis (Definition)

An abnormal condition where the 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