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Diagnosis of Endometriosis

Diagnosis of endometriosis is often delayed, especially among younger women. The delay in diagnosing endometriosis is that very often the symptoms are mistaken to represent other conditions such as adenomyosis ("Endometriosis Interna"), appendicitis, ovarian cysts, bowel obstructions, colon cancer, diverticulitis, ectopic pregnancy, fibroid tumors, gonorrhea, inflammatory bowel disease, irritable bowel syndrome, ovarian cancer, and PID. To correctly diagnose endometriosis in most cases requires a surgical procedure done under anesthesia called laparoscopy. The patient’s abdomen is distended with carbon dioxide gas to make the organs easier to see and a laparoscope(a tube with a light in it) is inserted into a small incision in the abdomen. The laparoscope is moved around the abdomen, the surgeon can check the condition of the abdominal organs and see the endometrial implants, if care and thoroughness are used.

In rare cases a doctor can sometimes feel endometrial implants during a pelvic examination, and symptoms will indicate endo, but it is not good practice to treat this disease without confirmation of the diagnosis. (Ovarian cancer, for instance, sometimes has the same symptoms.) A laparoscopy also indicates the locations, extent, and size of the growths and may help the doctor and patient make better-informed, long-range decisions about treatment and pregnancy.

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