HPP_img_9812 - Diagnose

Diagnosis

The diagnostic process starts with a detailed conversation with the gynaecologist and the summary of all findings (it would be a good idea if you could bring all documents such as surgical reports, medical reports, test results and similar with you to the consultation or if you could complete the questionnaire below yourself and e-mail or fax it to us in advance).

This will be followed by a thorough palpation and an ultrasound.

Endometriotic lesion

In this case, the physical examination revealed that during a previous surgery endometriotic lesions were carried over 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).

Ultrasound diagnostics

An ultrasound can be used to diagnose what are known as chocolate cysts (endometriomas).

MRI scan

An MRI may be advisable in the advanced stages to confirm problems such as involvement of the bladder or bowel.

However, only a laparoscopy will provide definitive evidence of endometriosis. This surgical procedure is performed under anaesthesia. It is used to determine the stage of the disease and to surgically treat the endometriosis. If the woman wants to have children, the fallopian tubes will be checked at the same time to see if they are patent and the uterus will be examined for any abnormalities.