Endometriosis is one of the several causes of pelvic pain. Diagnosis of endometriosis is done, based on clinical examination (pelvic examination), ultrasound examination and laparoscopic examination. Your doctor will ask you various questions regarding your symptoms (such as location of pain, duration of pain, if pain is related to menstruation etc.) And other related questions. Than your doctor will ask for tests mentioned here for coming to a diagnosis for your pelvic pain.
Pelvic examination in endometriosis:
In pelvic examination your doctor palpates pelvic area with hand/fingers and try to find out if there is any abnormality, such as scar tissue or if there is any cyst (which may be due to endometriosis). However, small area or endometriosis may be missed in pelvic examination and need other tests.
Ultrasound in endometriosis:
Ultrasound is very important for diagnosis of endometriosis. Abdominal (where ultrasound transducer is pressed against abdominal wall) or transvaginal (where ultrasound transducer is inserted inside your vagina, and this sometime gives the best view in ultrasound) ultrasound may be used. Ultrasound examination cannot confirm diagnosis of endometriosis, however, it can identify cysts associated with endometriosis.
Laparoscopic biopsy in endometriosis:
To confirm diagnosis of endometriosis, sometimes your doctor may use a laparoscope to visualize inside of your abdomen using an instrument called laparoscope. Your doctor try to find endometrial tissue outside uterus under direct visualization and take samples for study under microscope (biopsy). Laparoscopy and biopsy can confirm diagnosis of endometriosis and also provide information about the extent, size as well as location of endometrial tissue outside uterus (endometriosis) and these information can help in deciding the method of management or treatment of endometriosis.
Many times your doctor may start conservation treatment of endometriosis, based on your symptoms, pelvic examination and ultrasound report. Your experienced doctor can easily find out if you have endometriosis by symptoms, pelvic examination and ultrasound, hence, laparoscopic examination and biopsy are generally used in case of unsatisfactory result only.
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