5 doctors weighed in:
Can endometriosis be decisively diagnosed by pelvic exam?
5 doctors weighed in

Dr. Alfredo Nieves
Gynecology
3 doctors agree
In brief: 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.

In brief: 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.
Dr. Alfredo Nieves
Dr. Alfredo Nieves
Thank
Dr. Kenan Omurtag
Obstetrics & Gynecology
In brief: Yes and no
On pelvic exam, nodules that are palpable on the ligaments that support the uterus can be highly suggestive of endometriosis especially in the setting of historic patient data (painful periods that improve while on birth control pills).
..Ultimately, the "gold standard" diagnosis is visualization with laparoscopy but often times this can be misleading bc endo may not be superficially visible.

In brief: Yes and no
On pelvic exam, nodules that are palpable on the ligaments that support the uterus can be highly suggestive of endometriosis especially in the setting of historic patient data (painful periods that improve while on birth control pills).
..Ultimately, the "gold standard" diagnosis is visualization with laparoscopy but often times this can be misleading bc endo may not be superficially visible.
Dr. Kenan Omurtag
Dr. Kenan Omurtag
Thank
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