Endometriosis other diagnostic studies

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aravind Kuchkuntla, M.B.B.S[2]

Overview

Diagnostic laparoscopy is the gold standard to assess the severity and extent of the disease. Transvaginal ultrasound is done in patients with a suspicion of endometriosis, it is helpful in differentiation of endometriomas from other cystic abnormalities of the pelvic structures.

Other Diagnostic Studies

Abdominal and Transvaginal ultrasound

• Abdominal ultrasound helps in differentiating endometriomas from other cystic abnormalities. The endometrial lesions have increased vascularity and will demonstrate increased doppler flow.
• Transvaginal ultrasound is useful in detection of deep seated endometriosis and rectosigmoid endometriosis. It is more sensitive compared to abdominal ultrasound.

Diagnostic Laproscopy

• It is the gold standard for the diagnosis of endometriosis.
• It is useful for the assessment of the extent of the disease.
• A scoring system is developed based on the extent of the disease to calculate the Endometriosis Fertility Index to correlate the disease severity to the chance of conception.