Diagnosis of endometriosis

The diagnosis begins with a detailed discussion with your doctor and a summary of all the findings.

It would be good if you could bring all documents such as surgery reports, doctor’s letters, findings, etc. with you to the consultation. We will send you a patient questionnaire in advance, which you can fill out at home and email to us. After the consultation, a careful palpation and ultrasound examination will take place.

Depending on the symptoms and the question, an examination with other procedures may also be useful, e.g. a colonoscopy or imaging procedures such as magnetic resonance imaging.

Endometriosis
In this case, the physical examination revealed that a previous surgery had pulled endometriotic lesions to the skin, where they continued to grow. The patient reported cyclical (monthly) problems at the injection site.

Depending on the symptoms and the indication, assessment by means of other procedures may be advisable. These may include colonoscopy or diagnostic imaging procedures such as magnetic resonance imaging (MRI).

An ultrasound can be used to diagnose what are known as chocolate cysts (endometriomas).
An ultrasound can be used to diagnose what are known as chocolate cysts (endometriomas).
An MRI may be advisable in the advanced stages to confirm problems such as involvement of the bladder or bowel.
An MRI may be advisable in the advanced stages to confirm problems such as involvement of the bladder or bowel.

The final proof of endometriosis, however, can only be provided by a laparoscopy. During this surgical procedure under anaesthesia, the stage of the disease is determined and the endometriosis is surgically treated. If there is a desire to have children, it should be checked simultaneously whether the fallopian tubes are open or whether there are abnormalities in the uterus.