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Sometimes endometriosis is mistaken
or missed as a diagnosis because pelvic pain, one of its most common symptoms,
can also be a symptom of other conditions. A consultation with a physician experienced
with endometriosis is a good way to start.
He or she will speak with you to see if you have symptoms consistent
with endometriosis. Also, a pelvic pain
questionnaire is useful to see if you may have any other causes of pelvic
will perform a pelvic exam to feel for cysts, scars, or pain behind the uterus.
Smaller areas of endometriosis are hard to feel. Even if a pelvic exam is normal, this does
not rule out endometriosis.
Your doctor will
order an ultrasound, an imaging test to see if there are ovarian cysts from
endometriosis. During a vaginal ultrasound, a registered ultrasound technician
at the Saint Peter’s Women’s Imaging Center, inserts a wand-shaped scanner into
the vagina. This test uses sound waves to make pictures of the reproductive
organs. Magnetic resonance imaging (MRI) is another common imaging test that
can produce a picture of the inside of the body.
- cysts of endometriosis on the ovaries - are able to be diagnosed by
ultrasound or MRI. However, where endometriosis
occurs are not visible by imaging tests.
Therefore, even if the ultrasound or MRI is normal, this still may not
rule out endometriosis.
The only way
for a doctor to diagnose endometriosis for sure is to look inside the abdomen.
He or she can do this through a minimally invasive procedure called
laparoscopy. Patients are given general anesthesia before the surgery. Then,
the abdomen is expanded with a gas to make it easy to see organs. A tiny cut is
made in the abdomen and a thin tube with a light is placed inside to see
growths from endometriosis. After a
thorough inspection of the pelvis to find all growths that may be
endometriosis, this tissue can then be excised during the same surgery. Therefore, surgery can be diagnostic (confirming
the diagnosis of endometriosis) and therapeutic (removing the disease).
can be difficult to diagnose. After an
experienced physician performs a pelvic exam and reviews a sonogram or MRI reports,
he or she can counsel the patient about the likelihood of an endometriosis
diagnosis and the best way to proceed with treatment for endometriosis
The National Gianna Center for Women’s Health and Fertility
Dr. Kyle Beiter
222 Easton Avenue
New Brunswick, NJ 08901
Phone (732) 565-5490
Fax (732) 792-3038
Office Hours:Mon. to Fri. 8:30am-4pm
Gianna Center in NYDr. Anne Nolte
15 E. 40th Street
New York, NY 10016
Phone (212) 481-1219
Fax (212) 481-1423
Office Hours:Mon., Tue., Thu., Fri. 8:30am-5pmWed. 11am-5pm NY Location Only:
Schedule an Appointment
Jean Golden-Tevald, DO, CFCP, FCPMorningstar Family Health Center
54 Old Route 22
Clinton, NJ 08809
Phone (908) 735-9344
Fax (908) 735-7136
MaryAnne Freeman Brndjar, D.O. ,P.C. 4 West Main St.
Macungie, PA 18062
Phone (610) 820-0575
Fax (610) 967-6553
Gianna Center of Albany242 South Central AvenueMechanicville, NY 12118Phone (518) 779-5225Website
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