Top
20
Doctor insights on: Will Pelvic Exam Detect Endometriosis

Share
1

1
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
317 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


2

2
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

See 1 more doctor answer
3

3
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?

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

See 1 more doctor answer
5

5
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

See 1 more doctor answer
7

7
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

See 1 more doctor answer
8

8
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

9

9
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

10

10
Endometriosis and exercise--which caused my pelvic pain?

Not Exercise: Exercise is not known to cause pelvic pain. In fact exercise may improve pelvic pain in many women. Now if you have scar tissue, endometriosis or fibroids, exercise could aggravate the pain in some women but that is from the underlying problem itself. Endometriosis is a chronic condition that often requires a reproductive endocrinologist to help you manage or even diagnose. ...Read more

See 1 more doctor answer
11

11
What what show up on the pelvic ultra sound if you have endometriosis?

No endometriosis: Endometrial implants can only be seen by direct visualization either by laparoscopy (small camera inserted into abdomen) or by opening up the abdomen(laparotomy). Both are surgical procedures. ...Read more

12

12
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

14

14
I might have endometriosis. Will I have diagnosis if a pelvic laparoscopy?

I might have endometriosis. Will I  have diagnosis if a pelvic laparoscopy?

Only way to confirm: Visualization via laparoscopy is actually the only way to confirm the diagnosis of endometriosis. Ideally this will be accompanied by excision - that is, the "cutting out" - of the abnormal tissue for confirmation by the pathologist. ...Read more

See 4 more doctor answers
15

15
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

See 1 more doctor answer
16

16
How can I get relief from my endometriosis and pelvic floor muscle dysfunction?

How can I get relief from my endometriosis and pelvic floor muscle dysfunction?

Speak to your : Obgyn about this and look into physical therapy. There are physical therapists who specialize in working with patients to strengthen pelvic muscles in order to better cope with back and pelvic pain. You have to be motivated and committed though. Your obgyn can be helpful in this pursuit. ...Read more

17

17
Is endometriosis pain localized to the pelvic area only? I have sharp pain that intensifies monthly but it's all around my abdomen.

Endometriosis: Endometriosis pain can occur anywhere you have these cells happen to be located. It's not unusual to have the pain occurring around the time of your period because these cells are the same type of cells that come out with your period. It's unclear how they get to other locations but these cells can be found anywhere in your body and will respond to the hormones that start your period. ...Read more

18

18
Can endometriosis br diagnosis w/o surgery? diangosis today with endo based off monthly r pelvic pain during mens that is getting worse.

Can endometriosis br diagnosis w/o surgery? diangosis today with endo based off monthly r pelvic pain during mens that is getting worse.

No: #endometriosis is a curious disorder without proven cause, and commonly used treatments are speculative. Pelvic and operative interventions commonly cause pelvic and abdominal organ (intestine) adhesions resulting in tethered, twisted, and constricted intestine; a set-up for ibs-like symptoms. Women with joint hypermobility syndrome (see brighton criteria) have terrible menstrual pains. ...Read more

See 2 more doctor answers
19

19
Im 21 have serve endometriosis and need surgery every 6 months . Its attaching everything to my pelvic wall. What do I do?!?! I want kids to

Lupron (leuprolide): I'm sorry. Severe endometriosis is a difficult diagnosis to have. You might consider Depo Lupron (leuprolide) rather than surgery. It is a chemical switch that turns off the estrogen supply from your ovaries. This allows your body to rid itself of endometriosis wherever it is. ...Read more

20

20
Have chronic low rt pelvic pain (10 mo) & recently had surgery. They found endometriosis, but not on the right side. I'm still having the pain. ?

Have chronic low rt pelvic pain (10 mo) & recently had surgery. They found endometriosis, but not on the right side. I'm still having the pain. ?

Likely endometriosis: Most patients have very good results when treated surgically for endometriosis, at least initially. Unfortunately though, many do not - and most of those who do eventually experience a recurrence of their pain requiring additional treatment. If your pain was not inproved at all, you may need to have a colonoscopy to evaluate the bowel and/or see a urolgist to rule out a bladder problem. ...Read more

See 2 more doctor answers
Dr. Michael Traub
1,221 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