Endometriosis: diagnóstico clínico

José Negrón Rodríguez
In: Revista Peruana de Ginecología y Obstetricia · 2026 · vol. 71(3) · doi:10.31403/rpgo.v71i2811 · W7119499949
OA: diamond CC0
🔓 Open OA copy Full text JSON View on OpenAlex View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-10 ⓘ

Endometriosis, a chronic inflammatory disease causing pain and infertility, is diagnosed clinically through symptom association, physical exam, imaging, and definitively via surgical histological confirmation.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 · read from full text ⓘ

The paper describes clinical diagnosis of endometriosis, emphasizing that it is a chronic systemic inflammatory disease associated with pain, infertility, and reduced quality of life, and that diagnosis remains challenging with frequent delays. It states there are no symptoms that are characteristic or pathognomonic, but that specific combinations of symptoms (dysmenorrhea, dyspareunia, dyschezia, dysuria, chronic pelvic pain, and infertility) increase the likelihood of diagnosis. It notes that there are no specific biomarkers, while physical examination and imaging—transvaginal ultrasound and magnetic resonance imaging—are used to support diagnosis and assess disease extension, but definitive diagnosis requires histologic confirmation from surgically excised tissue, ideally via minimally invasive laparoscopic or robotic surgery. This paper is centrally about endometriosis — it focuses on clinical diagnosis and the roles of symptoms, exam, imaging, and histologic confirmation.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

Endometriosis is a inflammatory chronic systemic disease that can cause pain,infertility and reduced quality of life. Diagnosing endometriosis remains challenging, which yields diagnostic delays for patients. There are no characteristic or pathognomonic symptoms of endometriosis; however, the association of specific symptoms increases the likelihood of diagnosing the disease. Dysmenorrhea,dyspareunia, dyschezia, dysuria, chronic pelvic pain, and infertility are all associated with endometriosis. Physical examination allows us to detect endometriosis by visualization or palpation, assessing pain sites and pelvic organ mobility. Currently, there are no specific biomarkers for endometriosis. Ultrasound (TV) and magneticresonance imaging (MRI) are important tools to aid in the diagnosis and spread of disease. Definitive diagnosis requires histological confirmation of the excised tissue, obtained through surgery, preferably minimally invasive surgery, either laparoscopic or robotic.
Full text 1,703 characters · extracted from oa-doi-fallback · click to expand
Endometriosis: diagnóstico clínico DOI: https://doi.org/10.31403/rpgo.v71i2811Palabras clave: Endometriosis, síntomas, examen físico, diagnóstico, resonancia magnética, ecografía TVResumen Endometriosis es una enfermedad inflamatoria sistémica crónica que puede causar dolor, infertilidad y reducción de la calidad de vida. El diagnóstico de endometriosis sigue siendo un desafío lo que produce retrasos en el diagnóstico para las pacientes. No existen síntomas característicos o patognomónicos de endometriosis, sin embargo, la asociación de síntomas específicos nos conduce a tener mayores probabilidades de diagnosticar la enfermedad. Dismenorrea, dispareunia, disquecia, disuria, dolor pélvico crónico e infertilidad están asociados a endometriosis. El examen físico, nos permite detectar endometriosis por visualización o palpación, evaluar los sitios de dolor y la movilidad de los órganos de la pelvis. No existen en la actualidad biomarcadores específicos de endometriosis. Las imágenes por ecografía TV y por resonancia magnética son importantes herramientas de ayuda en el diagnóstico y extensión de la enfermedad. El diagnóstico definitivo requiere de la confirmación histológica del tejido escindido, obtenido a través de la cirugía, de preferencia cirugía de mínima invasión ya sea laparoscópica o robótica. Descargas Descargas Publicado Número Sección Licencia Derechos de autor 2026 José Negrón Rodríguez Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0. Esta revista provee acceso libre inmediato a su contenido bajo el principio de que hacer disponible gratuitamente la investigación al publico, lo cual fomenta un mayor intercambio de conocimiento global.

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

endometriosischronic_pelvic_paindysmenorrheadyspareuniainfertility

Citation neighborhood (no data yet)

We don't have any in-corpus citations linked to this paper yet. This is a recent paper (2026) — citers typically take a year or two to land, and the OpenAlex reference graph may still be filling in.

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
License: CC0 · commercial use OK