Diagnosing endometriosis: Endometriosis: diagnosis and management: Evidence review B

Endometriosis is a chronic inflammatory disease affecting up to 10% of women, defined as the presence of endometrium-like tissue outside the uterus. Endometriosis can cause chronic pain affecting daily activities and quality of life, particularly on a cyclical basis. It can also cause heavy periods as well as urinary and gastrointestinal symptoms. However, some women with endometriosis will not have any symptoms. A delay in the diagnosis of endometriosis could lead to prolongation and exacerbation of symptoms and may also lead to impaired fertility and damage to other organs such as the bowel and urinary system. Early and accurate diagnosis of endometriosis is important to improve symptoms, for optimal management and to slow or stop the progression of the disease. Diagnostic strategies for endometriosis include ultrasound imaging, MRI, biomarker tests and surgery. The aim of this review is to evaluate the accuracy of diagnostic tests for the diagnosis of endometriosis in women with suspected endometriosis.