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.[1][2][3][4]
- Transvaginal ultrasound is useful in the detection of deeply seated endometriosis and rectosigmoid endometriosis. It is more sensitive compared to abdominal ultrasound.[5]
Diagnostic Laparoscopy
- It is the gold standard for the diagnosis of endometriosis.[6]
- 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. It correlates the disease severity to having a successful conception.
References
- ↑ Grasso RF, Di Giacomo V, Sedati P, Sizzi O, Florio G, Faiella E; et al. (2010). "Diagnosis of deep infiltrating endometriosis: accuracy of magnetic resonance imaging and transvaginal 3D ultrasonography". Abdom Imaging. 35 (6): 716–25. doi:10.1007/s00261-009-9587-7. PMID 19924468.
- ↑ Park SB, Kim JK, Cho KS (2008). "Sonography of endometriosis in infrequent sites". J Clin Ultrasound. 36 (2): 91–7. doi:10.1002/jcu.20431. PMID 18067126.
- ↑ Asch E, Levine D (2007). "Variations in appearance of endometriomas". J Ultrasound Med. 26 (8): 993–1002. PMID 17646361.
- ↑ Nisenblat V, Prentice L, Bossuyt PM, Farquhar C, Hull ML, Johnson N (2016). "Combination of the non-invasive tests for the diagnosis of endometriosis". Cochrane Database Syst Rev. 7: CD012281. doi:10.1002/14651858.CD012281. PMID 27405583.
- ↑ Dueholm M, Lundorf E (2007). "Transvaginal ultrasound or MRI for diagnosis of adenomyosis". Curr Opin Obstet Gynecol. 19 (6): 505–12. doi:10.1097/GCO.0b013e3282f1bf00. PMID 18007126.
- ↑ Wood C, Kuhn R, Tsaltas J (2002). "Laparoscopic diagnosis of endometriosis". Aust N Z J Obstet Gynaecol. 42 (3): 277–81. PMID 12230063.