[Diagnosis of endometriosis].

M García Manero, García Manero M, B Olartecoechea, Royo Manero P, P Royo Manero, M Aubá, M. Aubà, Alcázar Jl, J L Alcázar
Revista de medicina de la Universidad de Navarra · 2010 · vol. 53(3) , pp. 6–9 · PMID:19994767 · W2415681496
article OA: closed CC0 ⤵ 5 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

Laparoscopy is the preferred method for diagnosing endometriosis, as current symptoms, physical exams, lab tests, and imaging lack sufficient sensitivity and specificity.

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Abstract

There are no sufficiently sensitive and specific signs and symptoms or diagnostic tests for the clinical diagnosis of endometriosis, and no diagnostic strategy is supported by evidence of effectiveness. Pelvic and rectal examinations should be performed, although the yield of the physical examination is low. Laboratory tests and radiological examinations are usually not warranted. Measurement of CA 125 levels may be useful for monitoring disease progress, and MRI has a high sensitivity in detecting endometrial cysts but poor diagnostic accuracy for endometriosis in general. Patients with persistent symptoms after empirical treatment should be referred for laparoscopy, the preferred method for diagnosis of endometriosis.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Endometriosis Female Humans

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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