Is There a Test to Diagnose Endometriosis?

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Is There a Test to Diagnose Endometriosis
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Endometriosis cannot be diagnosed with certainty
by symptoms and physical examination alone. The
healthcare practitioner may consider other
conditions such as infections or tumors. One
condition that may have similar symptoms to
endometriosis is interstitial cystitis, or
chronic inflammation of the bladder. Direct
visualization of the endometriosis implants,
typically via laparoscopic surgery, provides the
definitive diagnosis. In order to
diagnose endometriosis, the following steps may
be taken
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• A biopsy of the suspected tissue may be
  accomplished by laparoscopy. During this
  procedure, a tiny camera is inserted through
  small incisions in the patient's abdomen.
  Instruments are used to remove a small piece of
  tissue that is examined in the laboratory. More
  invasive surgery, called laparotomy, requires a
  larger surgical incision, and does not rely on
  the use of a surgical camera.
• During surgery, samples of the suspected areas
  are taken and evaluated by a pathologist.
  Microscopic examination of tissue samples taken
  during surgery may reveal endometrial cells in
  areas outside of the uterus.

Once a diagnosis of endometriosis has been made,
the woman and her healthcare practitioner will
discuss treatment options.
Is There Surgery to Treat Endometriosis?

• If treatment with medications does not work or is
  not appropriate for a woman, surgery can be
  considered if she has severe pain or severe
  damage to the pelvic structures.

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• Laparoscopic surgery (a minimally invasive,
  camera-guided surgical procedure) may be used in
  an attempt to remove all endometrial tissue
  outside of the uterus. This removal is often
  performed during the surgery when endometriosis
  is diagnosed.

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• Surgery to remove the uterus and ovaries, called
  a hysterectomy, is considered for women who fail
  medical therapy and no longer wish to have
  additional children.
• Although surgery can be very effective,
  endometriosis may recur following surgery. Some
  studies have shown the recurrence rate of
  endometriosis following surgical treatment to be
  as high as 40.
• Most women find relief from symptoms once
  menopause is complete and when the levels of
  hormones responsible for promoting this disease
  diminish.

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