7 doctors weighed in:

Is laparoscopy the only definitive way to diagnose my endometriosis?

7 doctors weighed in
Dr. Luis Gonzalez
Obstetrics & Gynecology
3 doctors agree

In brief: 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.

In brief: 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.
Dr. Luis Gonzalez
Dr. Luis Gonzalez
Thank
Dr. Susan Johnson
Gynecology
1 doctor agrees

In brief: Usually

If the endometriosis is present only in the ovaries as sometimes happens, the diagnosis can be made using diagnostic imaging techniques such as ultrasound or mri.
Sometimes this may be all that's necessary in combination with watchful waiting or with a trial of medication to suppress the endometriosis.

In brief: Usually

If the endometriosis is present only in the ovaries as sometimes happens, the diagnosis can be made using diagnostic imaging techniques such as ultrasound or mri.
Sometimes this may be all that's necessary in combination with watchful waiting or with a trial of medication to suppress the endometriosis.
Dr. Susan Johnson
Dr. Susan Johnson
Thank
Dr. Susan Johnson
Gynecology

In brief: Definitive – yes

There is a saying: “tissue is the issue”.
Diagnostic laparoscopy allows biopsy of tissue and resection of mild endo. If positive, biopsy may justify the use of a gnrh analog, an expensive medication with significant side effects, to treat the remaining endometriosis. If negative, then the hunt for the true cause of the pelvic pain can continue.

In brief: Definitive – yes

There is a saying: “tissue is the issue”.
Diagnostic laparoscopy allows biopsy of tissue and resection of mild endo. If positive, biopsy may justify the use of a gnrh analog, an expensive medication with significant side effects, to treat the remaining endometriosis. If negative, then the hunt for the true cause of the pelvic pain can continue.
Dr. Susan Johnson
Dr. Susan Johnson
Thank
Dr. Brandon Zabukovic
Family Medicine

In brief: No

Diagnostic laparoscopy is the most definitive ("gold standard") test, and is important because ablative treatment can occur at the same time.
With that being said, we often arrive at the diagnosis through a combination of your reported history, our physical including pelvic exam, and a non-invasive diagnostic imaging test such as transvaginal ultrasound or pelvic mri.

In brief: No

Diagnostic laparoscopy is the most definitive ("gold standard") test, and is important because ablative treatment can occur at the same time.
With that being said, we often arrive at the diagnosis through a combination of your reported history, our physical including pelvic exam, and a non-invasive diagnostic imaging test such as transvaginal ultrasound or pelvic mri.
Dr. Brandon Zabukovic
Dr. Brandon Zabukovic
Thank
1 comment
Dr. Susan Johnson
Perhaps most important in diagnostic laparoscopy is biopsy of tissue to absolutely confirm endo.
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