Diagnosis of Endometriosis
Laboratory and imaging tests (ultrasound and x-rays) are not as
helpful as the history and physical examination in diagnosing endometriosis.
Indeed, in our own experience, the high suspicion and persistence
in seeking the diagnosis of the patient are the two most important
factors in leading to the majority of the diagnoses of endometriosis.
Visualization of endometriosis on the lower genital tract (vagina
and cervix) and tender nodules palpable above the vagina during
routine pelvic examination is considered by many physicians to be
diagnostic of endometriosis. However, laparoscopy (laparo = abdomen,
scopy = inspection, thus, laparoscopy = inspection of abdominal
cavity) to directly inspect the abdominal and pelvic cavity is the
only definitive diagnosis of endometriosis.